Individual
DR. DIEGO G. CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8620 N 22ND AVE, 200, PHOENIX, AZ 85021-4251
(602) 674-6501
Mailing address
5130 W BASELINE RD, STE 103, LAVEEN, AZ 85339-2984
(602) 237-0039
(602) 237-7824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19750
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
469008
—
AZ
Enumeration date
04/17/2006
Last updated
10/31/2011
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