DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLACK DIAMOND MEDICAL LLC

Active Organization

BLACK DIAMOND MEDICAL LLC is a Primary Care Nurse Practitioner organization located in PEORIA, Arizona. NPI 1639644909 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · PEORIA, AZ

Registration Details

NPI Number
1639644909
Provider Type
Organization
NPI Issued
Oct 12, 2018 (7.8325916421123 yrs)
Last Updated
Mar 6, 2020

Practice Information

Address
20449 N LAKE PLEASANT RD STE 101
PEORIA, AZ, 853822707
Browse AZ providers · Browse ZIP 85382
Phone
6233220099
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Urgent Care Center

Other Primary Care Nurse Practitioner Organizations in PEORIA, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.