Organization · Type 2 NPI

Patricia A Dietzgen Do LLC

Primary Care Clinic/Center · Phoenix, AZ

NPI number 1255529491 Active

Practice location

16515 S 40th St, Suite 103
Phoenix, AZ 85048-0558

Call (480) 961-0760 Map

Fax (480) 961-0761

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

27 other providers at this address

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About NPI 1255529491

Patricia A Dietzgen Do LLC's National Provider Identifier is 1255529491, issued on Oct 12, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 19, 2011.