Individual
VIRGINIA MARIA DIAVOLITSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 W 10TH AVE, ROOM 86, COLUMBUS, OH 43210-1280
(614) 366-3886
Mailing address
300 W 10TH AVE, ROOM 86, COLUMBUS, OH 43210-1280
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35.097820
OH
2085R0001X
Radiation Oncology Physician
AN5240394-3761
IL
Other
Enumeration date
07/30/2008
Last updated
08/01/2012
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