Individual
DIANE NEDDENRIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5155 E FARNESS DR, STE. 111A, TUCSON, AZ 85712-2158
(520) 327-1787
(520) 321-9613
Mailing address
5155 E FARNESS DR, STE. 111A, TUCSON, AZ 85712-2158
(520) 327-1787
(520) 321-9613
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
17428
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277998
—
AZ
Enumeration date
11/06/2006
Last updated
05/02/2013
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