TRENTEN JAMES DIPPOLD

PHOENIX, AZ
NPI1700618790
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: AZ  10657)
Enumeration Date2024-08-17
Last Update Date2025-01-08
Business Address
TRENTEN JAMES DIPPOLD PA
1300 N 12TH ST STE 500
PHOENIX, AZ 85006-2849
Phone number: 602-839-4567
Mailing Address
TRENTEN JAMES DIPPOLD PA
555 N COLLEGE AVE APT 4047
TEMPE, AZ 85288-0222
Phone number: 814-706-5074
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