Individual
MS. DIANA THAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3540 E BASELINE RD STE 130, PHOENIX, AZ 85042-9629
(623) 251-7559
(480) 621-7043
Mailing address
3815 E BELL RD STE 2200, PHOENIX, AZ 85032-2139
(602) 633-3848
(602) 633-3841
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
67016
AZ
Other
Enumeration date
04/01/2019
Last updated
07/07/2022
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