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Walter M Dise

Walter M Dise is a health care provider in Queen Creek, AZ. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 34095 N Slate Creek Dr, Queen Creek, AZ 85243-3420, US
Practice Location Phone480-430-5328
Practice Location Fax480-354-7247
Legal Business NameWALTER M DISE
Other Organization Name TypeDoing Business As Name
NPI ?1265694012
Entity TypeOrganization
Enumeration Date ? Jul 1, 2008
Last Update Date ? Jul 1, 2008
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Walter M Dise

SpecialtySpecializationLicenseLicense State
Non-emergency Medical Transport (VAN) 9454Arizona

official-icon Authorized Official of Walter M Dise

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Walter M Dise's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Walter Dise
Authorized Official Title/PositionOWNER/PRESIDENT
Authorized Official Phone Number480-430-5328