Individual
MRS. DIANE ELIZABETH HLAVACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
16641 N 40TH STREET, SUITE 2, PHOENIX, AZ 85032-3343
(602) 482-2929
(602) 482-4976
Mailing address
16641 N 40TH STREET, SUITE 2, PHOENIX, AZ 85032-3343
(602) 482-2929
(602) 482-4976
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
AZ31335
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
788169
—
AZ
Enumeration date
09/28/2006
Last updated
07/08/2007
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