Individual
DIEM JILLIAN DANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 MONUMENT RD, SUITE 190, YORK, PA 17403-5060
(717) 851-6454
(717) 851-1665
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-9071
(970) 624-4451
(970) 490-4199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
01575
WV
363A00000X
Physician Assistant
50.002789
OH
363A00000X
Physician Assistant
MA056113
PA
363A00000X
Physician Assistant
Primary
PA.0004666
CO
363A00000X
Physician Assistant
PAC1185
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2981455
HIGHMARK BLUE SHIELD-FREEDOM BLUE
PA
Enumeration date
08/15/2008
Last updated
10/07/2025
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