Individual
MR. MARLIN LEE DIMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5620 W THUNDERBIRD RD, SUITE E-2, GLENDALE, AZ 85306-4636
(602) 938-3742
(602) 938-0639
Mailing address
5620 W THUNDERBIRD RD, SUITE E-2, GLENDALE, AZ 85306-4636
(602) 938-3742
(602) 938-0639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14226
AZ
Other
Enumeration date
01/23/2006
Last updated
07/02/2013
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