Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 43378 | AZ |
NPI | 1013171842 |
---|---|
Provider Name | Dr. Diana Lynelle Dabell |
First Address | Phoenix, AZ 85006 |
Second Address | Phoenix, AZ 85006-2848 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 20/05/2011 |