Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 4819 | AZ |
Y | 213EG0000X | General Practice | 4819 | AZ |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 4819 | AZ |
N | 1223X0400X | Orthodontists | 4819 | AZ |
NPI | 1063561553 |
---|---|
Provider Name | Dr. Diana A. Batoon |
First Address | Scottsdale, AZ 85254-6734 |
Second Address | Scottsdale, AZ 85254-6734 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 11/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1831381086 | NPPES (01) | AZ |