BRIAN DIEP MD INC
Ambulatory Health in Chandler, AZ

License number
Arizona 261QP2300X
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. BRIAN DIEP MD
Title: CEO
Phone: (626) 488-7663
Address
Address
2051 W Warner Rd Ste #5, Chandler, AZ 85224
National Provider ID: 1841485489
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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BRIAN DIEP MD INC

2051 W Warner Rd #5, Chandler, AZ 85224

Industry:
Medical Doctor's Office
Doing business as:
Brian Diep MD MD
Registration:
Jun 7, 2006
State ID:
-1290629-7
Expiration:
PERPETUAL
Secretarys:
Brian Diep (President/ceo, Allergy And Immunology, Chief Executive Officer, Principal), 2051 W Warner Rd #5, Chandler, AZ 85224 (Physical),Kristine Nguyen (Secretary), 2051 W Warner Rd #5, Chandler, AZ 85224 (Physical)

Ambulatory Health licenses in Arizona