Individual
DIANA R HOUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
890 W 4TH ST, BENSON, AZ 85602-6437
(520) 586-3664
(520) 586-3665
Mailing address
890 W 4TH ST, BENSON, AZ 85602-6437
(520) 586-3664
(520) 586-3665
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2989
AZ
Other
Enumeration date
02/01/2008
Last updated
03/04/2010
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