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Individual

DANIEL JOSEPH DEUSTERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
F.N.P.

Contact information

Practice address
19841 N 27TH AVE, SUITE 101, PHOENIX, AZ 85027-4003
(602) 942-8512
(602) 942-1075
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 434-6164

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
AP2956
AZ
363LF0000X
Family Nurse Practitioner
Primary
AP2956
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
417325
AZ
Enumeration date
01/28/2008
Last updated
05/30/2013
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