Individual
DR. DIANA LESLIE HEARNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
181 W MEADOW DR, VAIL VALLEY MEDICAL CENTER, VAIL, CO 81657-5242
(970) 479-7225
(970) 479-7216
Mailing address
27 MAIN ST # C301, EDWARDS, CO 81632-8109
(997) 056-9360
(970) 569-3601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28216
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1282169
—
CO
Enumeration date
08/31/2006
Last updated
07/08/2007
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