Individual
DR. DIANNA LYNNE FURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
203 SANDIA DAY SCHOOL ROAD, BERNALILLO, NM 87004
(505) 867-4696
(505) 867-4997
Mailing address
481 SANDIA LOOP, BERNALILLO, NM 87004-7076
(505) 867-4696
(505) 867-4997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
30414
CO
207Q00000X
Family Medicine Physician
Primary
MD2011-0163
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07235551
—
NM
Enumeration date
07/19/2005
Last updated
12/12/2016
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