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Diego Maldonado Quezada
NPI 1679266308 · on the registry since 2023
Practice
- Address
- 875 Perimeter Dr
Moscow, ID 83844 - Phone
- (208) 885-6111
- Clinicians at this address
- 117
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 235500000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho