Individual
DIANNA LYNN TERCAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 E BOULDER ST, SUITE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
(719) 444-3759
Mailing address
1400 E BOULDER ST, SUITE 700, COLORADO SPRINGS, CO 80909-5533
(719) 635-7172
(719) 444-3759
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0010-03820
NC
363AM0700X
Medical Physician Assistant
Primary
PA.0004565
CO
Other
Enumeration date
10/02/2012
Last updated
03/24/2016
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