SearchArizonaInterventional Pain Medicine Physician

Jack Diep, MD

NPI 1912333014 · on the registry since 2013

Practice

Address
1791 Mesquite Ave
Lake Havasu City, AZ 86403
Phone
(928) 505-5555
Fax
(928) 505-2877
Organisation at this address
Lakeside Orthopedic Institute Llc
Pulmonary Associates Of Northwestern Arizona, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Additional practice sites

  • 25 Riviera Blvd, Lake Havasu City, AZ

Registry record

Primary taxonomy
Interventional Pain Medicine Physician
208VP0014X
Also registered as
Pain Medicine (Anesthesiology) Physician
Pain Medicine Physician
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-09-27

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