Paul G Diederich M.D.

NPI 1003896895 - Internal Medicine - 207R00000X

NPI Details
NPI 1003896895
Gender Male
Enumeration Date 01/18/2006
Last Updated 06/16/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
10787 NALL AVE
STE. 310
OVERLAND PARK KS, 66211-1375, US
Phone (913) 945-6900
Fax (913) 945-6970
Business Location
2330 SHAWNEE MISSION PARKWAY
MEDICAL ADMINISTRATIVE SERVICES OF KU STE. 312
WESTWOOD KS, 66205-0000, US
Phone (913) 945-5614
Fax (913) 945-5617
Toxanomy
Taxonomy Code 207R00000X
License State Missouri
License Number R9699
Remove 1003896895 NPI Number
 

According to our database, Dr. Paul G Diederich M.D. NPI is 1003896895, taxonomy code is 207R00000X and license number is R9699, license state is located at Missouri. Paul G Diederich M.D. physically located at 10787 Nall Ave, Overland Park KS, 66211-1375. NPI Number Paul G Diederich M.D. has the Individual type.

Sponsored links

1003896895 NPI number is provided on an as is basis without warranty of any kind. 1003896895 is maintained by the National Plan & Provider Enumeration System. The contents of Paul G Diederich M.D. are for informational purposes only.