Individual
DIANE R DOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 BICENTENNIAL WAY, HOSP. LL, ROOM G112, PEDI. HBS, SANTA ROSA, CA 95403-2149
(707) 566-5252
Mailing address
401 BICENTENNIAL WAY, HOSP. LL, ROOM G112, PEDI. HBS, SANTA ROSA, CA 95403-2149
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G78594
CA
Other
Enumeration date
05/17/2007
Last updated
12/03/2021
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