Healthcare Provider Details

I. General information

NPI: 1679587646
Provider Name (Legal Business Name): DIANA LYNN HONEBRINK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10390 N LA CANADA DR STE 110
ORO VALLEY AZ
85737-7273
US

IV. Provider business mailing address

1856 E INNOVATION PARK DR
ORO VALLEY AZ
85755-1963
US

V. Phone/Fax

Practice location:
  • Phone: 520-420-2110
  • Fax: 520-420-2111
Mailing address:
  • Phone: 520-825-7111
  • Fax: 520-818-1253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number29773
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: