Individual
DR. KENNETH DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5859 W TALAVI BLVD, STE 100, GLENDALE, AZ 85306-1870
(602) 298-7777
(623) 930-6060
Mailing address
5859 W TALAVI BLVD STE 100, GLENDALE, AZ 85306-1870
(602) 298-7777
(623) 930-6060
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4682
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239042
—
AZ
Enumeration date
08/12/2006
Last updated
11/27/2023
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