Individual provider · Type 1 NPI

Jack Diep, MD

Interventional Pain Medicine Physician · Lake Havasu City, AZ

NPI number 1912333014 Active

Practice location

1791 Mesquite Ave
Lake Havasu City, AZ 86403-5648

Call (928) 505-5555 Map

Fax (928) 505-2877

Mailing address

25 Riviera Blvd
Lake Havasu City, AZ 86403-5694

Other practice locations

  • 25 Riviera Blvd, Lake Havasu City, AZ 86403-5694 · (928) 505-5555

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Anesthesiology) Physician 207LP2900X55528 (AZ)
Pain Medicine Physician 208VP0000X55528 (AZ)
Interventional Pain Medicine Physician Primary 208VP0014X55528 (AZ)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

11 other providers at this address

About NPI 1912333014

Jack Diep, MD's National Provider Identifier is 1912333014, issued on Sep 20, 2013. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Lake Havasu City, AZ. The record was last updated on Sep 27, 2022.