NPI 1003982703
Diane Macon
Practice location
- Address
- 1910 E Mobile Ln, Phoenix, AZ 85040-2439
- Phone
- (602) 268-4333
- Mailing address
- PO Box 8552, Phoenix, AZ 85066
Registered specialties
Child Mental Illness Respite Care
Primary
Registry record
- NPI
- 1003982703
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Nov 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.