Individual
DR. DIANA I ELIZALDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4720 E GREENWAY RD, PHOENIX, AZ 85032-4355
(602) 439-6000
Mailing address
4720 E GREENWAY RD, PHOENIX, AZ 85032-4355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68677
AZ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
68677
AZ
Other
Enumeration date
04/16/2019
Last updated
04/14/2026
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