Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Dietzgen, NMD

Individual provider Naturopath · NPI 1316348790

Mark Dietzgen, NMD is a Naturopath in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2014
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Practice location Address checks out

16515 S 40th St Ste 103
Phoenix, AZ 85048-0558
Phone: (480) 961-0760
Fax: (480) 961-0761
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Specialties & licences

Naturopath (primary) Taxonomy 175F00000X · Licence 01653 (AZ)

Record details

NPI number1316348790
Entity typeIndividual (Type 1)
GenderMale
Credentials NMD
Sole proprietorYes
NPI enumeratedSeptember 4, 2014
Last updated in NPPESSeptember 4, 2014
Mailing address16515 S 40th St, Suite 103, Phoenix, AZ 85048-0558

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