Provider Demographics
NPI:1497888614
Name:SAYLOR, DIANA FRANCES (PA-C)
Entity Type:Individual
Prefix:MS
First Name:DIANA
Middle Name:FRANCES
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 E. BLITHEDALE AVE
Mailing Address - Street 2:SUITE #A
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941
Mailing Address - Country:US
Mailing Address - Phone:415-388-2801
Mailing Address - Fax:415-388-2803
Practice Address - Street 1:619 E. BLITHEDALE AVE
Practice Address - Street 2:SUITE #A
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941
Practice Address - Country:US
Practice Address - Phone:415-388-2801
Practice Address - Fax:415-388-2803
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1499363AM0700X
CA19543363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical