Mark Dietzgen, NMD

NPI 1316348790 · on the registry since 2014 · sole proprietor

Practice

Address: 16515 S 40th St
Suite 103
Phoenix, AZ 85048
Phone: (480) 961-0760
Fax: (480) 961-0761
Organisation at this address: Kwon Md, Inc
Rhino Billing
Core Recovery Llc
Athena Medical Group
Mixtures Pharmacy Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 34

Registry record

Primary taxonomy: Naturopath
175F00000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-09-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona