INNOVATIVE DIABETIC CENTER, LLC

SCOTTSDALE, AZ
NPI1235997602
Entity TypeOrganization
Authorized ContactAMY LORRAINE HUNN
Administrative Manager
602-377-1450
Organization Subpart ?No
Primary Taxonomy261QI0500X Clinic/Center, Infusion Therapy
Additional Taxonomies133N00000X Nutritionist
133VN1006X Dietitian, Registered, Nutrition, Metabolic
163WD0400X Registered Nurse, Diabetes Educator
163WI0500X Registered Nurse, Infusion Therapy
164W00000X Licensed Practical Nurse
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine
208VP0000X Pain Medicine, Pain Medicine
363L00000X Nurse Practitioner
Enumeration Date2024-03-11
Last Update Date2024-04-11
Business Address
INNOVATIVE DIABETIC CENTER, LLC
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258-4531
Phone number: 602-377-1450
Mailing Address
INNOVATIVE DIABETIC CENTER, LLC
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258-4531
Phone number: 602-377-1450