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Individual
DIANA LYNN SRDICH
Active
Individual
DIANA LYNN SRDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
5254
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z4643
HEALTH NET
AZ
01
—
350043946
RR MEDICARE
AZ
01
—
AZ0248500
BLUE CROSS/ BLUE SHIELD
AZ
Enumeration date
10/17/2006
Last updated
07/19/2012
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