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Organization
DIABETES NEUROPATHY CENTER
Active
Organization
DIABETES NEUROPATHY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THUY LINH NGUYEN (DIRECTOR)
(623) 693-3400
Entity
Organization
Contact information
Practice address
412 WHIPPLE ST, PRESCOTT, AZ 86301-1712
(480) 788-5621
(480) 779-1277
Mailing address
412 WHIPPLE ST, PRESCOTT, AZ 86301-1712
(480) 788-5621
(480) 779-1277
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
NULL
207QA0505X
Adult Medicine Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
Other
Enumeration date
08/25/2025
Last updated
10/08/2025
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