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:
Health care specialties
| Specialty | Code | License # | 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 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548785108 | NPPES |
| Arizona | Other | 861025771 | CERTIFIED CARDIAC PERFUSIONIST |
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