Individual
DIANE TALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 THOMAS LN, SUITE 3-G, COLUMBUS, OH 43214-1419
(614) 457-7732
(614) 457-4346
Mailing address
500 THOMAS LN, SUITE 3-G, COLUMBUS, OH 43214-1419
(614) 457-7732
(614) 457-4346
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35-03-7692
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399322
—
OH
Enumeration date
12/29/2005
Last updated
03/16/2011
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