Individual
DIANE L. ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 N DOBSON RD STE 108, MESA, AZ 85201-5278
(480) 456-9300
Mailing address
450 N DOBSON RD STE 108, MESA, AZ 85201-5278
(480) 456-9300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
17601
AZ
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
Primary
17601
AZ
208D00000X
General Practice Physician
17601
AZ
Other
Enumeration date
04/10/2006
Last updated
07/02/2014
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