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Black Diamond Medical Llc
Primary Care Nurse Practitioner in Peoria, Arizona
NPI 1639644909

Black Diamond Medical Llc is a Primary Care Nurse Practitioner based in Peoria, AZ and is specialized in Primary Care. Black Diamond Medical Llc practices in Peoria, AZ. The NPI Number for Black Diamond Medical Llc is 1639644909 and holds a License No. (Arizona).

The current practice location address for Black Diamond Medical Llc is 20449 N Lake Pleasant Rd Ste 101, Peoria, AZ and can be reached out via phone at 623-322-0099. You can also correspond with Black Diamond Medical Llc through the mailing address at 20449 N LAKE PLEASANT RD STE 101, PEORIA, AZ - 85382-2707 (mailing address contact number: 623-322-0099).

Location: 20449 N Lake Pleasant Rd Ste 101, Peoria, AZ, 85382-2707
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639644909
Provider Name
Black Diamond Medical Llc
Credential
Provider Entity Type
Organization
Address
20449 N Lake Pleasant Rd Ste 101, Peoria, AZ, 85382-2707
Phone Number
623-322-0099
Fax Number
Provider Enumeration Date
10/12/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20449 N Lake Pleasant Rd Ste 101
City
Peoria
State
Arizona
Zip
85382-2707
Phone Number
623-322-0099
Fax Number
person
Provider Business Mailing Address Details
Address
20449 N Lake Pleasant Rd Ste 101
City
Peoria
State
Arizona
Zip
85382-2707
Phone Number
623-322-0099
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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