PATRICIA A DIETZGEN DO LLC

PHOENIX, AZ
NPI1255529491
Entity TypeOrganization
Authorized ContactPATRICIA A DIETZGEN
Owner
480-961-0760
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
Enumeration Date2007-10-12
Last Update Date2011-01-19
Business Address
PATRICIA A DIETZGEN DO LLC
16515 S 40TH ST SUITE 103
PHOENIX, AZ 85048-0558
Phone number: 480-961-0760
Mailing Address
PATRICIA A DIETZGEN DO LLC
16515 S 40TH ST SUITE 103
PHOENIX, AZ 85048-0558
Phone number: 480-961-0760
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