Diede, Gregory G

Diede, Gregory G is an individual health care provider with primary practice located at 1830 S Alma School Rd Ste 108 , Mesa AZ 85210-3086. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Perfusionist, which is considered as his primary health care specialty. Diede, Gregory G can be contacted via phone (480) 248-3060.

Contact Information

Primary practice address
1830 S Alma School Rd Ste 108 Mesa AZ 85210-3086
Phone: (480) 248-3060
Fax: (480) 248-3050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X

Profile Details

NPI number 1548785108
LBN Legal business name Diede, Gregory G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2017
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548785108 NPPES
Arizona Other 861025771 CERTIFIED CARDIAC PERFUSIONIST

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