Provider Demographics
NPI:1891974184
Name:GRIFFIN, DIANA JANIS (DC)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:JANIS
Last Name:GRIFFIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 PARK MEADOWS DR
Mailing Address - Street 2:850
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2560
Mailing Address - Country:US
Mailing Address - Phone:303-708-8388
Mailing Address - Fax:303-708-8997
Practice Address - Street 1:7600 PARK MEADOWS DR
Practice Address - Street 2:850
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2560
Practice Address - Country:US
Practice Address - Phone:303-708-8388
Practice Address - Fax:303-708-8997
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2008-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007021111N00000X
CO6271111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor