Organization
BRIAN DIEP MD INC
Active
Other names
Citrus Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN DIEP MD (CEO)
(626) 488-7663
Entity
Organization
Contact information
Practice address
2051 W WARNER RD, STE # 5, CHANDLER, AZ 85224-2100
(626) 488-7663
Mailing address
4892 E LA COSTA DR, CHANDLER, AZ 85249-7109
(619) 865-1821
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
261QP2300X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
975831
—
AZ
Enumeration date
09/06/2007
Last updated
05/14/2008
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