Individual
DIANA JILL BUCKNER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4700 HALE PKWY STE 520, DENVER, CO 80220-4053
(303) 388-1945
(303) 388-1979
Mailing address
4700 HALE PKWY STE 520, SUITE 220, DENVER, CO 80220-4053
(303) 388-1945
(303) 388-1979
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2705
CO
Other
Enumeration date
10/08/2008
Last updated
03/06/2017
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