Individual
DR. DIANE M PFEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2350 S DIXON RD, STE 400, KOKOMO, IN 46902-6420
(765) 455-9801
(765) 455-9840
Mailing address
2350 S DIXON RD, STE 400, KOKOMO, IN 46902-6420
(765) 455-9801
(765) 455-9840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01050142
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093486
BLUE CROSS
IN
05
—
2002234890A
—
IN
Enumeration date
06/10/2005
Last updated
03/22/2011
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