Dr. John K Dibaise
Gastroenterologist
13400 E Shea Blvd
Scottsdale
, Arizona 85259-5404
Dr. John K Dibaise
Gastroenterologist
13400 E Shea Blvd
Scottsdale
, Arizona 85259-5404
(480) 301-8000
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. John K Dibaise
- 13400 E Shea Blvd
- Scottsdale, AZ
- Zip : 85259-5404
- Phone : (480) 301-8000
Second Address
- Dr. John K Dibaise
- 13400 E Shea Blvd
- Scottsdale, AZ
- Zip : 85259-5404
- Phone : (480) 301-8000
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Is Dr. John K Dibaise a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RG0100X | Gastroenterologist | 20817 | NE |
| Y | 207RG0100X | Gastroenterologist | 33585 | AZ |
National Provider Identifier
| NPI | 1043293434 |
|---|---|
| Provider Name | Dr. John K Dibaise |
| First Address | Scottsdale, AZ 85259-5404 |
| Second Address | Scottsdale, AZ 85259-5404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/11/2005 |
| Last Update Date | 10/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G69481 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.