Individual
DIANA MICHELLE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2301 N 4TH ST, FLAGSTAFF, AZ 86004-3708
(287) 197-4009
(928) 440-5399
Mailing address
2301 N 4TH ST, FLAGSTAFF, AZ 86004-3708
(928) 719-7400
(928) 440-5399
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-001012
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/08/2018
Last updated
08/08/2022
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