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Individual
KENT A DIEHL
Active
Individual
KENT A DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46375
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
737449
—
AZ
01
—
P01574368
RAILROAD MEDICARE
AZ
Enumeration date
07/20/2006
Last updated
03/14/2017
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