Individual
DR. DIANE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10800 MAGNOLIA AVE, RMC-3, RM. 3207, RIVERSIDE, CA 92505-3043
(951) 353-4912
(951) 353-5838
Mailing address
10800 MAGNOLIA AVE, RMC-3, RM. 3207, RIVERSIDE, CA 92505-3043
(951) 353-4912
(951) 353-5838
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A67585
CA
Other
Enumeration date
05/11/2006
Last updated
11/29/2021
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