Richard Edward Dietzen in El Dorado - Specialist
Richard Edward Dietzen - NPI 1871580704
Richard Edward Dietzen is a Specialist in El Dorado, Arkansas. Richard Edward Dietzen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard Edward Dietzen is 1871580704. The last update date is 2010-10-27.
Richard Edward Dietzen's current location address is Po Box 2116, El Dorado, Arkansas. You can contact this provider via phone number 8708636444 and fax number 8708636675. The mailing address for Richard Edward Dietzen is Po Box 2116, El Dorado, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Edward Dietzen |
|---|---|
| Address | Po Box 2116, El Dorado, Arkansas |
| Phone Number | 8708636444 |
| Fax Number | 8708636675 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1871580704 |
|---|---|
| Provider Enumeration Date | 2005-10-05 |
| Last Updated Date | 2010-10-27 |
Provider Mailing Address Detail
| Address | Po Box 2116 |
|---|---|
| City | El Dorado |
| State | Arkansas (AR) |
| Post Code | 717312116 |
| Phone Number | 8708636444 |
| Fax Number | 8708636675 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | E-1069 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136119002 | AR | -- | |
| 130492001 | AR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard Edward Dietzen by the Centers for Medicare & Medicaid Services?
The Richard Edward Dietzen has been issued the NPI (National Provider Identifier) 1871580704 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Richard Edward Dietzen located?
The Richard Edward Dietzen is located at Po Box 2116, El Dorado, AR 717312116.
What is Richard Edward Dietzen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Richard Edward Dietzen is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Richard Edward Dietzen receive its 1871580704 assignment from the Centers for Medicare & Medicaid Services?
The Richard Edward Dietzen was assigned its 1871580704 by the Centers for Medicare & Medicaid Services on 2005-10-05.
As of what date was the information pertaining to Richard Edward Dietzen, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard Edward Dietzen, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-10-27.