Provider Demographics
NPI:1174784482
Name:TRAN, DIANE THI (MD)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:THI
Last Name:TRAN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:311 S CLARK ST
Mailing Address - Street 2:SUITE 285
Mailing Address - City:CARROLL
Mailing Address - State:IA
Mailing Address - Zip Code:51401-3038
Mailing Address - Country:US
Mailing Address - Phone:712-792-2093
Mailing Address - Fax:712-792-2096
Practice Address - Street 1:311 S CLARK ST
Practice Address - Street 2:SUITE 285
Practice Address - City:CARROLL
Practice Address - State:IA
Practice Address - Zip Code:51401-3038
Practice Address - Country:US
Practice Address - Phone:712-792-2093
Practice Address - Fax:712-792-2096
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2015-11-06
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Provider Licenses
StateLicense IDTaxonomies
IA42854207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery