Individual
DIEN DO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
6553 E BAYWOOD AVE STE 201, MESA, AZ 85206-1754
(480) 467-2273
(866) 901-9543
Mailing address
6553 E BAYWOOD AVE STE 201, MESA, AZ 85206-1754
(480) 467-2273
(866) 901-9543
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AP8990
AZ
364SG0600X
Gerontology Clinical Nurse Specialist
AP8990
AZ
Other
Enumeration date
10/07/2016
Last updated
01/28/2025
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