Diane M Thiboutot, MD

NPI #1104889831 in Hershey, Pennsylvania

Provider Information

NPI Number: 1104889831
Entity Type: Individual
Name: Diane M Thiboutot, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Apr 12, 2006
Last Updated: Dec 19, 2019

Practice Location

Address: 500 UNIVERSITY DR
City: Hershey
State: Pennsylvania
ZIP Code: 17033-2360
Phone: (717) 531-6820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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