Individual
DIANA L MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4747 ARAPAHOE AVE, BOULDER, CO 80303-1133
(303) 415-7610
(303) 415-7618
Mailing address
5450 WESTERN AVE, BOULDER, CO 80301-2709
(303) 415-7610
(303) 415-7618
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
44925
CO
208M00000X
Hospitalist Physician
44925
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03457389
—
CO
Enumeration date
07/26/2006
Last updated
11/09/2017
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