Individual
DIANE LEIGH PAZ BARROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2955 IVY RD STE 205, CHARLOTTESVILLE, VA 22908-1205
(434) 243-4500
(434) 293-8570
Mailing address
2955 IVY RD STE 205, BOX 801205, CHARLOTTESVILLE, VA 22908-1205
(434) 243-4500
(434) 293-8570
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101257706
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4892231
AETNA
—
Enumeration date
04/09/2012
Last updated
07/15/2015
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