Individual provider · Type 1 NPI
Dianna Lynn Tercan, PA-C
Medical Physician Assistant · Colorado Springs, CO
NPI number
1114278025
Active
Practice location
1400 E Boulder St, Suite 700
Colorado Springs, CO 80909-5533
Fax (719) 444-3759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-03820 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | PA.0004565 (CO) |
Medical Physician Assistant: Definition to come...
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About NPI 1114278025
Dianna Lynn Tercan, PA-C's National Provider Identifier is 1114278025, issued on Oct 2, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colorado Springs, CO. The record was last updated on Mar 24, 2016.