Organization
DIANE LH COLTRIN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE LH COLTRIN MD (OWNER)
(757) 227-8675
Entity
Organization
Contact information
Practice address
6315 N CENTER DR, SUITE 100, NORFOLK, VA 23502-4006
(757) 227-8675
(757) 461-1452
Mailing address
6315 N CENTER DR, SUITE 100, NORFOLK, VA 23502-4006
(757) 227-8675
(757) 461-1452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101050603
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6207588
—
VA
Enumeration date
11/07/2006
Last updated
05/19/2008
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