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NPI Code Detail

MEDICARE: DIANE STRAUB MD

MEDICARE: DIANE STRAUB MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine PhysicianDR.0066038CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
251548OTHERFLBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1285645135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANE STRAUB MD
Provider Business Mailing Address
First Line : PO BOX 110429
Second Line :
City : AURORA
State : CO
Zip : 80042-0429
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 860 POTOMAC CIR
Second Line :
City : AURORA
State : CO
Zip : 80011-6714
Country : US
Telephone Number : 720-777-1234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 08/12/2021

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