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Contact Information

DIANE K MATSUMOTO, MD
16611 S 40TH ST
STE 160
PHOENIX, AZ85048
 Phone: 480-940-8527
 Fax: 480-940-8530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DIANE K MATSUMOTO · (Female)

NPI Number 1215039227
Status Active
Credentials MD
Entity Individual
Enumeration date 09/01/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 24004
  • AZ Medicaid 351510
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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