DIANE PARK MD LLC
Mental Health at Dobson Rd, Mesa, AZ

License number
Arizona 32107
Category
Mental Health
Type
Mental Health
Owner
Name: DIANE PARK MD
Title: OWNER
Phone: (480) 204-2477
Address
Address
1845 S Dobson Rd SUITE 109, Mesa, AZ 85202
National Provider ID: 1972847903
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DIANE PARK MD LLC at bizstanding.com

DIANE PARK, M.D. LLC

1845 S Dobson Rd #109, Mesa, AZ 85202

Industry:
Medical Doctor's Office, Nonclassifiable Establishments, Psychiatrist
Doing business as:
Diane Park M D LLC<br>Diane Park, Psychiatrist
Registration:
Jul 12, 2012
Phone:
(480) 466-7010 (Phone)
State ID:
L-1774595-6
Expiration:
PERPETUAL
Medical Doctors:
Diane Park (Member, Owner), 1845 S Dobson Rd #109, Mesa, AZ 85202 (Physical),Diane L. Elmore (Medical Doctor)
Agent:
Gevan C Rudd Cpa,1423 S Higley Rd #105, Mesa, AZ 85206 (Physical)

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