Provider Demographics
NPI:1124457171
Name:CLAUDIA DIMA, MD, PLLC
Entity type:Organization
Organization Name:CLAUDIA DIMA, MD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-550-2185
Mailing Address - Street 1:2475 S AVENUE A STE A
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-7168
Mailing Address - Country:US
Mailing Address - Phone:928-344-9000
Mailing Address - Fax:
Practice Address - Street 1:2475 S AVENUE A STE A
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-7168
Practice Address - Country:US
Practice Address - Phone:928-344-9000
Practice Address - Fax:928-344-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-09
Last Update Date:2020-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ31766261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center