Individual
DIANE PINCUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Mailing address
1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501-3128
(303) 776-1234
(720) 494-3107
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
31960
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01319607
—
CO
Enumeration date
07/18/2005
Last updated
07/08/2007
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