Most Relevant Information
Provider Data
| NPI Number: | 1003230566 |
| Provider Name: | DIANA D BRISCOE |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/04/2014 |
| Last Updated: | 02/04/2014 |
Provider Practice Location
355 D AVE
LIMON
CO
808260001
Practice Location Phone/Fax
| Phone: | 6609733195 |
| Fax: |
Provider Mailing Location
355 D AVE
LIMON
CO
808260001
Provider Mailing Phone/Fax
| Phone: | 6609733195 |
| Fax: |