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Individual
MISS DIANA LEE ANDERS
Active
Individual
MISS DIANA LEE ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
36138
MT
363A00000X
Physician Assistant
Primary
5595
OK
363A00000X
Physician Assistant
WY445
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
07/17/2008
Last updated
01/09/2026
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