Stephen R Dieker JR. MD

NPI 1174731004 - Anesthesiology - 207L00000X

NPI Details
NPI 1174731004
Gender Male
Enumeration Date 05/21/2007
Last Updated 07/09/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
2752 HARRISON AVE
SUITE A
EUREKA CA, 95501-4738, US
Phone (707) 268-0190
Fax (707) 445-3076
Business Location
2752 HARRISON AVE
SUITE A
EUREKA CA, 95501-4738, US
Phone (707) 268-0190
Fax (707) 445-3076
Toxanomy
Taxonomy Code 207L00000X
License State Missouri
License Number 2007016507
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According to our database, Dr. Stephen R Dieker JR. MD NPI is 1174731004, taxonomy code is 207L00000X and license number is 2007016507, license state is located at Missouri. Stephen R Dieker JR. MD physically located at 2752 Harrison Ave, Eureka CA, 95501-4738. NPI Number Stephen R Dieker JR. MD has the Individual type.

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1174731004 NPI number is provided on an as is basis without warranty of any kind. 1174731004 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen R Dieker JR. MD are for informational purposes only.