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1811905177
CHERI DIANE DERSAM
PHOENIX, AZ
NPI
1811905177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 31114)
Enumeration Date
2006-08-03
Last Update Date
2007-10-20
Business Address
DR. CHERI DIANE DERSAM M.D.
4730 E INDIAN SCHOOL RD SUITE 211
PHOENIX, AZ 85018-5441
Phone number: 602-354-3491
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Mailing Address
DR. CHERI DIANE DERSAM M.D.
6131 E CALLE ROSA
SCOTTSDALE, AZ 85251-4222
Phone number: 480-874-5835
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