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DIANE LIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2356 MEADOWS BLVD STE 240B, CASTLE ROCK, CO 80109-8410
(303) 649-3380
(303) 649-3381
Mailing address
4001 N 3RD ST STE 290, PHOENIX, AZ 85012-2071

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0073212
CO
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/06/2020
Last updated
10/09/2024
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