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Individual

RICHARD ANTHONY DIASIO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
625 N CASCADE AVE, SUITE 215, COLORADO SPRINGS, CO 80903-3254
(719) 633-2181
(719) 633-9454
Mailing address
625 N CASCADE AVE, SUITE 215, COLORADO SPRINGS, CO 80903-3254
(719) 633-2181
(719) 633-9454

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CL 21153
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01211531
CA
Enumeration date
07/27/2005
Last updated
07/08/2007
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