Individual
MRS. DIANA MARIE MCGAVREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(480) 710-0611
Mailing address
2329 N RECKER RD, UNIT 76, MESA, AZ 85215-2751
(602) 633-5033
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
007273
AZ
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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