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Individual

DR. DIANE LESLEE COLGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9800 FALLS RD, SUITE #105, POTOMAC, MD 20854-3999
(301) 299-6644
(301) 299-6647
Mailing address
9800 FALLS RD, SUITE #105, POTOMAC, MD 20854-3999
(301) 299-6644
(301) 299-6647

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
D0008971
MD

Other

Enumeration date
10/04/2006
Last updated
07/27/2012
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