NPI 1043293434 · live from the CMS NPI Registry
John K Dibaise, M.D.
Internal Medicine, Gastroenterology in Scottsdale, AZ. National Provider Identifier 1043293434, active.
NPI record
| NPI | 1043293434 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 13400 E Shea Blvd, Scottsdale, AZ 85259 |
| Practice phone | 480-301-8000 |
| Enumerated | November 21, 2005 |
| Last updated | September 10, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | 20817 (NE) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 33585 (AZ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.