Individual
DR. DIANA LYNN EASTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
708 E STATE HIGHWAY 260, SUITE B-1, PAYSON, AZ 85541-4959
(928) 472-9480
(928) 472-6176
Mailing address
708 E STATE HIGHWAY 260, SUITE B-1, PAYSON, AZ 85541-4959
(928) 472-9480
(928) 472-6176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2129
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0868940
BLUE CROSS PIN
AZ
Enumeration date
04/05/2006
Last updated
07/08/2007
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