Individual
BRIAN DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
(619) 659-3144
Mailing address
4058 WILLOWS RD, ALPINE, CA 91901-1668
(619) 445-1188
(619) 659-3144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34428
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34428
AZ LICENSE
—
05
—
975831
—
AZ
Enumeration date
07/20/2006
Last updated
07/21/2022
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