Individual
DINNA ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
(623) 247-9742
Mailing address
3003 N CENTRAL AVE STE 1600, PHOENIX, AZ 85012-2908
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
208000000X
GA
208000000X
Pediatrics Physician
Primary
54388
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000882868A
—
GA
05
—
272334
—
AZ
01
—
820483
BLUE CROSS BLUE SHIELD
GA
Enumeration date
09/16/2006
Last updated
04/19/2019
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