Organization
CARL F. DIENER, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL F DIENER MD (PRESIDENT)
(520) 327-6267
Entity
Organization
Contact information
Practice address
5375 E ERICKSON DR, SUITE 101, TUCSON, AZ 85712-2838
(520) 327-6267
(520) 321-0086
Mailing address
5375 E ERICKSON DR, SUITE 101, TUCSON, AZ 85712-2838
(520) 327-6267
(520) 321-0086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5462
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
230730
—
AZ
01
—
AZ0056930
BCBSAZ
AZ
Enumeration date
01/22/2007
Last updated
08/22/2020
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