Individual
DR. HAAGEN A. DIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2161 E. PECOS ROAD, SUITE #1, CHANDLER, AZ 85225-6131
(602) 753-2663
(480) 247-2479
Mailing address
2161 E. PECOS ROAD, SUITE #1, CHANDLER, AZ 85225-6131
(602) 753-2663
(480) 247-2479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
29248
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
563016
—
AZ
01
—
AZ0884660
BCBS
AZ
Enumeration date
06/08/2005
Last updated
08/14/2015
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