Individual
DR. DIANA THANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000
(928) 336-7430
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
(928) 662-0407
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036115007
IL
207L00000X
Anesthesiology Physician
Primary
36152
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212843
—
AZ
Enumeration date
10/11/2006
Last updated
08/19/2024
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