Diabetes Dynamics

NPI #1518214345 in Eagle, Colorado

Provider Information

NPI Number
1518214345
Entity Type
Organization
Organization Name
Diabetes Dynamics
Primary Specialty
Clinic/Center
Enumeration Date
Aug 10, 2012
Last Updated
Aug 10, 2012

Practice Location

Address
9 RT. LADYBELLE PL
Address 2
BOX 5620
City
Eagle
ZIP Code
81631-5620
Phone
(970) 390-8311

Authorized Official

Name
MS. THERESE ANTONELLI LANDIN, MA, CDE
Title
CERTIFIED DIABETES EDUCATOR
Phone
(970) 390-8311

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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