Individual
DIANE STRAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
860 POTOMAC CIR, AURORA, CO 80011-6714
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
DR.0066038
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265177700
—
DC
01
—
51548
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/10/2006
Last updated
08/12/2021
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