Paul G Diederich in Overland Park - Internal Medicine

Paul G Diederich - NPI 1003896895

Paul G Diederich is a Internal Medicine in Overland Park, Kansas. Paul G Diederich practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Paul G Diederich is 1003896895. The last update date is 2009-06-16.

Paul G Diederich's current location address is 10787 Nall Ave, Overland Park, Kansas. You can contact this provider via phone number 9139456900 and fax number 9139456970. The mailing address for Paul G Diederich is 10787 Nall Ave, Overland Park, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Paul G Diederich
Address 10787 Nall Ave, Overland Park, Kansas
Phone Number 9139456900
Fax Number 9139456970
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1003896895
Provider Enumeration Date 2006-01-18
Last Updated Date 2009-06-16

Provider Mailing Address Detail

Address 10787 Nall Ave
City Overland Park
State Kansas (KS)
Post Code 662111375
Phone Number 9139456900
Fax Number 9139456970

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No R9699
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DI201088119 MO --

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FAQs about Paul G Diederich

Where is the Paul G Diederich located?

The Paul G Diederich is located at 10787 Nall Ave, Overland Park, KS 662111375.

Could you please provide the complete physical location address of Paul G Diederich?

The Paul G Diederich is physically situated at 10787 Nall Ave, in the city of Overland Park, state of KS, with the postal code 662111375.

What is the area of specialization for Paul G Diederich, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Paul G Diederich is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.

When was the Paul G Diederich's 1003896895 issued?

The Paul G Diederich's 1003896895 was issued on 2006-01-18.

When was the information pertaining to Paul G Diederich most recently updated or revised?

The details related to Paul G Diederich, including its address, specialty, and other relevant information, were last updated or revised on 2009-06-16.

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