# DIABETES NEUROPATHY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245118538
- **Authorized official:** THUY LINH NGUYEN (DIRECTOR)
- **Authorized official phone:** (623) 693-3400

## Contact information

- **Practice address:** 412 WHIPPLE ST, PRESCOTT, AZ 86301-1712
- **Practice address phone:** (480) 788-5621
- **Practice address fax:** (480) 779-1277
- **Mailing address:** 412 WHIPPLE ST, PRESCOTT, AZ 86301-1712
- **Mailing address phone:** (480) 788-5621
- **Mailing address fax:** (480) 779-1277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |
| 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
