Organization
NORTHWEST INTERVENTIONAL ANESTHESIOLOGY PAIN MANAGEMENTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H DIEDE MD (PRESIDENT)
(480) 361-7680
Entity
Organization
Contact information
Practice address
10640 N 28TH DR, SUITE C-106, PHOENIX, AZ 85029-4527
(602) 863-3924
(602) 863-3926
Mailing address
PO BOX 94568, PHOENIX, AZ 85070-4568
(480) 361-7680
(480) 361-7683
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
48915
AZ
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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