Whalio Doctors

NPI 1376082941

Diane Grace Bejerano, DO

Practitioner Family Medicine Physician Wickenburg, AZ

Practice location

Address
523 Rose Ln, Wickenburg, AZ 85390-1448
Phone
(928) 668-1833
Fax
(928) 684-7457
Mailing address
15453 W Sierra St, Surprise, AZ 85379-7217

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence NONE YET (AZ)

Registry record

NPI
1376082941
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Feb 2017
Record last updated
5 Nov 2021

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.