Individual
DR. DIANE KORSOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HARPST ST, STUDENT HEALTH CENTER, HUMBOLDT STATE UNIVERSITY, ARCATA, CA 95521-8222
(707) 826-3146
(707) 826-5042
Mailing address
1956 MAD RIVER RD, ARCATA, CA 95521-9691
(707) 826-1496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G37007
CA
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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