Individual
DIANNE SALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3033 N 44TH ST STE 100, PHOENIX, AZ 85018-7227
(602) 631-3161
(602) 631-3162
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6977
AZ
363AS0400X
Surgical Physician Assistant
6977
AZ
Other
Enumeration date
10/31/2017
Last updated
08/03/2022
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