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Individual

MR. JAMES MICHAEL DIANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3650 WEST BETHANY HOME ROAD, PHOENIX, AZ 85019-1967
(602) 973-6609
(602) 973-0067
Mailing address
3650 WEST BETHANY HOME ROAD, PHOENIX, AZ 85019-1967
(602) 973-6609
(602) 973-0067

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
875
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0083000
BCBS
AZ
Enumeration date
09/20/2006
Last updated
12/03/2007
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