Mahoney, Dianna Lynn

Mahoney, Dianna Lynn is an individual health care provider with primary practice located at 200 W. Hospital Drive , Whiteriver AZ 85941-0860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Mahoney, Dianna Lynn can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 W. Hospital Drive Whiteriver AZ 85941-0860
Phone: (928) 338-4911
Fax: (928) 338-3522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 27347 Arizona

Profile Details

NPI number 1649372004
LBN Legal business name Mahoney, Dianna Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Dec 28th, 2008 - about 16 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 1649372004 NPPES
Arizona MEDICAID 618514
Arizona MEDICAID 1629236716
Arizona MEDICAID 1780614008
Arizona MEDICAID 1871523191
Arizona MEDICAID 1295993376

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