Individual
DR. KATIE ELLEN DIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
202 E MAIN ST, STANBERRY, MO 64489-1358
(660) 783-2192
Mailing address
PO BOX 187, 16 W 4TH, GRANT CITY, MO 64456
(660) 564-3322
(660) 564-3324
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
200816196
MO
207Q00000X
Family Medicine Physician
Primary
2011007997
MO
Other
Enumeration date
04/16/2009
Last updated
12/07/2017
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