Individual
DR. MARK WAYNE DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Mailing address
3225 INDEPENDENCE RD, CANON CITY, CO 81212-9380
(719) 275-2351
(719) 269-9386
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
DO126330
OR
2084P0800X
Psychiatry Physician
Primary
32405
CO
Other
Enumeration date
07/05/2006
Last updated
08/27/2013
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