Individual
DR. DIANA MARIE DESANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4875 WARD ROAD, SUITE 600, WHEAT RIDGE, CO 80033
(303) 456-9456
(303) 463-7560
Mailing address
4875 WARD ROAD, SUITE 600, WHEAT RIDGE, CO 80033
(303) 456-9456
(303) 463-7560
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
31859
CO
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
DR.0031859
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01318591
—
CO
05
—
1318591
—
CO
Enumeration date
06/19/2006
Last updated
09/01/2018
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