Provider Demographics
NPI:1376612317
Name:EKLUND, DIANE KRATZER (MD)
Entity type:Individual
Prefix:
First Name:DIANE
Middle Name:KRATZER
Last Name:EKLUND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 N AVENIDA DE VIZCAYA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-6080
Mailing Address - Country:US
Mailing Address - Phone:509-991-8800
Mailing Address - Fax:
Practice Address - Street 1:4900 N AVENIDA DE VIZCAYA
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-6080
Practice Address - Country:US
Practice Address - Phone:509-991-8800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG87554207ZC0006X
AZ21414207ZC0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZC0006XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology