Organization · Type 2 NPI

Black Diamond Medical LLC

Primary Care Nurse Practitioner · Peoria, AZ

NPI number 1639644909 Active

About NPI 1639644909

Black Diamond Medical LLC's National Provider Identifier is 1639644909, issued on Oct 12, 2018. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Peoria, AZ. The record was last updated on Mar 6, 2020.