Individual
DIANE CAROL MUSANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Mailing address
677 N WILMOT RD, TUCSON, AZ 85711-2701
(520) 795-2889
(520) 795-6321
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2417
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
586026
—
AZ
Enumeration date
12/04/2007
Last updated
10/22/2015
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