| Diabetes Dynamics | |
|
9 Rt. Ladybelle Pl Box 5620 Eagle CO 81631-5620 | |
| (970) 390-8311 | |
| (970) 328-5497 |
| Full Name | Diabetes Dynamics |
|---|---|
| Speciality | Clinic/center |
| Location | 9 Rt. Ladybelle Pl, Eagle, Colorado |
| Authorized Official Name and Position | Therese Antonelli Landin (CERTIFIED DIABETES EDUCATOR) |
| Authorized Official Contact | 9703908311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diabetes Dynamics Box 5620 9 Rt. Ladybelle Pl Eagle CO 81631-5620 Ph: (970) 390-8311 | Diabetes Dynamics 9 Rt. Ladybelle Pl Box 5620 Eagle CO 81631-5620 Ph: (970) 390-8311 |
| NPI Number | 1518214345 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 08/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518214345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 09018253 (Colorado) | Primary |
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