Doctor Name: | DR. DIANA MARIA ACCINELLI |
NPI Number: | 1154489904 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | G58250 |
Business Practice Address: | 10986 Mougle Lane Truckee, CA - 961610510 |
Business Phone Number: | 5305507333 |
Business Fax Number: | |
Mailing Address: | Po Box 10510, TRUCKEE |
State: | CA |
Postal Code: | 961620510 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/05/2006 |
NPI Last Update Date: | 01/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204C00000X |
License Number: | G58250 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: |