Individual
DIANA JOAN WALLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
OS015958
PA
2084E0001X
Epilepsy Physician
Primary
DR.0057284
CO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
DR.0057284
CO
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
MD443378
PA
Other
Enumeration date
05/30/2008
Last updated
08/09/2024
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