Individual
DR. COLIN E DIFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-6442
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 286-2635
(314) 286-2338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2019017299
MO
207RR0500X
Rheumatology Physician
Primary
2019017299
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200061863
—
MO
Enumeration date
07/05/2014
Last updated
09/11/2025
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