Individual
DR. DIANNA M BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9100 N 2ND ST, SUITE 121, PHOENIX, AZ 85020-2446
(602) 997-7331
(602) 870-4512
Mailing address
9100 N 2ND ST, SUITE 121, PHOENIX, AZ 85020-2446
(602) 997-7331
(602) 870-4512
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34793
AZ
Other
Enumeration date
11/27/2005
Last updated
07/21/2008
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