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Individual

DIANA LYNN SRDICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
8765 W KELTON LN, BLDG B-4, SUITE 150, PEORIA, AZ 85382-3584
(623) 979-7100
(623) 979-3577
Mailing address
8765 W KELTON LN, BLDG B-4, SUITE 150, PEORIA, AZ 85382-3584
(623) 979-7100
(623) 979-3577

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
5254
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1Z4643
HEALTH NET
AZ
01
350043946
RR MEDICARE
AZ
01
AZ0248500
BLUE CROSS/ BLUE SHIELD
AZ
Enumeration date
10/17/2006
Last updated
07/19/2012
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