Individual
DR. JUAN CARLOS DIAZCADENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 W THOMAS RD, STE 720 & STE 730, PHOENIX, AZ 85013-4409
(602) 406-3715
(602) 406-4011
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
26376
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438649
AHCCCS
AZ
01
—
Z105923
MEDICARE PTAN
—
Enumeration date
05/24/2005
Last updated
12/10/2024
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