NPI 1346458221

Diane Al-Abduljalil, MD

Practitioner General Practice Physician Colorado Springs, CO

Practice location

Address: 4105 Crocus Ln, Colorado Springs, CO 80918-4413
Phone: (719) 264-6271
Fax: (719) 264-6298
Mailing address: 4105 Crocus Lane, Colorado Springs, CO 80918-4413

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 32462 (CO)

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Registry record

NPI: 1346458221
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.