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1861998635
TIMOTHY ROSS DIESTELKAMP
PHOENIX, AZ
NPI
1861998635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: AZ 72505)
Enumeration Date
2018-04-02
Last Update Date
2024-04-29
Business Address
Dr. TIMOTHY ROSS DIESTELKAMP MD
4302 E WHITTON AVE
PHOENIX, AZ 85018-5944
Phone number: 251-680-6451
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Mailing Address
Dr. TIMOTHY ROSS DIESTELKAMP MD
4302 E WHITTON AVE
PHOENIX, AZ 85018-5944
Phone number:
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