Individual
DILLIAN LA SALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 E MCDOWELL RD, STE 300, PHOENIX, AZ 85006-2609
(602) 251-3122
(602) 254-1226
Mailing address
1010 E MCDOWELL RD, STE 300, PHOENIX, AZ 85006-2609
(602) 251-3122
(602) 254-1226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25273
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381624
—
AZ
Enumeration date
06/23/2006
Last updated
12/20/2024
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