Individual
DR. DIANE ALICE DEMALLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2864 S CIRCLE DR STE 500, COLORADO SPRINGS, CO 80906-4123
(719) 473-2346
Mailing address
2213 N NEVADA AVE, # 215, COLORADO SPRINGS, CO 80907-6801
(719) 572-6266
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
41102
CO
2084P0800X
Psychiatry Physician
A55982
CA
Other
Enumeration date
08/15/2006
Last updated
09/15/2022
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