MATTHEW DEISE

PHOENIX, AZ
NPI1760021885
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  236093)
Enumeration Date2020-01-06
Last Update Date2021-11-18
Business Address
MATTHEW DEISE
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012-2806
Phone number: 602-230-7373
Mailing Address
MATTHEW DEISE
5550 N 16TH ST APT 175
PHOENIX, AZ 85016-2946
Phone number: 602-430-3441
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