person
Dr. Diane Dierdre Daly, MD
Diagnostic Radiology Physician in Fort Wayne, Indiana
NPI 1487625653

Diane Dierdre Daly is a Diagnostic Radiology Physician based in Fort Wayne, IN and is specialized in Diagnostic Radiology. Diane Dierdre Daly practices in Fort Wayne, IN and has the professional credentials of MD. The NPI Number for Diane Dierdre Daly is 1487625653 and holds a License No. 01033743 (Indiana).

The current practice location address for Diane Dierdre Daly is 6119 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 260-432-1568 and via fax at 260-432-4969. You can also correspond with Diane Dierdre Daly through the mailing address at 6119 W JEFFERSON BLVD, FORT WAYNE, IN - 46804-3072 (mailing address contact number: 260-432-1568).

Location: 6119 W Jefferson Blvd, Fort Wayne, IN, 46804-3072
person
Provider Profile Details
NPI Number
1487625653
Provider Name
Diane Dierdre Daly
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6119 W Jefferson Blvd, Fort Wayne, IN, 46804-3072
Phone Number
260-432-1568
Fax Number
260-432-4969
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100348560 05 IN
300077574 01 IN MEDICARE RAILROAD
0787260 05 OH
300016185 01 IN MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
6119 W Jefferson Blvd
City
State
Zip
46804-3072
Phone Number
260-432-1568
Fax Number
260-432-4969
person
Provider Business Mailing Address Details
Address
6119 W Jefferson Blvd
City
State
Zip
46804-3072
Phone Number
260-432-1568
Fax Number
260-432-4969
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
01033743 (Indiana)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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