Organization
DIANE T SERVOSS MD PLLC
Active
Other names
Diane T Servoss MD PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE T SERVOSS MD (ANESTHESIOLOGIST)
(520) 780-1055
Entity
Organization
Contact information
Practice address
7010 N JAVELINA DR, TUCSON, AZ 85718-1850
(520) 780-1055
Mailing address
PO BOX 9017, NAPLES, FL 34101-9017
(520) 780-1055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104822
—
AZ
Enumeration date
01/23/2023
Last updated
01/23/2023
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