Individual
DR. DIANA MARILYN GAVIRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 EMMETT ROUSCH DR, MARTINSBURG, WV 25401-6313
(304) 263-5131
(304) 263-1067
Mailing address
800 EMMETT ROUSCH DR, MARTINSBURG, WV 25401-6313
(304) 263-5131
(304) 263-1067
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
17550
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021267001
—
WV
05
—
0053907000
—
WV
Enumeration date
10/19/2006
Last updated
07/08/2025
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