INNOVATIVE DIABETIC CENTER, LLC

SCOTTSDALE, AZ
NPI1235997602
Entity TypeOrganization
Authorized ContactAMY LORRAINE HUNN
President
602-377-1450
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
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
261QI0500X Clinic/Center, Infusion Therapy
261QM1300X Clinic/Center, Multi-Specialty
363L00000X Nurse Practitioner
Enumeration Date2024-03-11
Last Update Date2024-11-18
Business Address
INNOVATIVE DIABETIC CENTER, LLC
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258-4531
Phone number: 480-493-0900
Mailing Address
INNOVATIVE DIABETIC CENTER, LLC
10210 N 92ND ST STE 104
SCOTTSDALE, AZ 85258-4531
Phone number: 480-493-0900