Matthew M Diesselhorst in Oklahoma City - Orthopaedic Trauma

Matthew M Diesselhorst - NPI 1104022417

Matthew M Diesselhorst is a Orthopaedic Trauma in Oklahoma City, Oklahoma. Matthew M Diesselhorst practices all healthcare services and medical treatments related to Orthopaedic Trauma. The NPI Number for Matthew M Diesselhorst is 1104022417. The last update date is 2020-04-07.

Matthew M Diesselhorst's current location address is 10914 Hefner Pointe Dr Ste 200, Oklahoma City, Oklahoma. You can contact this provider via phone number 4054633337 and fax number 4054633338. The mailing address for Matthew M Diesselhorst is 10914 Hefner Pointe Dr Ste 200, Oklahoma City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Matthew M Diesselhorst
Address 10914 Hefner Pointe Dr Ste 200, Oklahoma City, Oklahoma
Phone Number 4054633337
Fax Number 4054633338
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1104022417
Provider Enumeration Date 2007-06-23
Last Updated Date 2020-04-07

Provider Mailing Address Detail

Address 10914 Hefner Pointe Dr Ste 200
City Oklahoma City
State Oklahoma (OK)
Post Code 731205069
Phone Number 4054633337
Fax Number 4054633338

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Trauma
Taxonomy 207Xx0801X
Licence No 25730
Definition:
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic defo

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25730 OK MEDICAL LICENSE

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FAQs about Matthew M Diesselhorst

What is the unique 10-digit identifier code assigned to Matthew M Diesselhorst by the Centers for Medicare & Medicaid Services?

The Matthew M Diesselhorst has been issued the NPI (National Provider Identifier) 1104022417 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Matthew M Diesselhorst is physically located?

The Matthew M Diesselhorst is physically situated at the following address: 10914 Hefner Pointe Dr Ste 200, Oklahoma City, OK, 731205069.

What is Matthew M Diesselhorst's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Matthew M Diesselhorst is Orthopaedic Trauma, and the taxonomy classification code that categorizes this area of expertise is 207Xx0801X.

On what date did Matthew M Diesselhorst receive its 1104022417 assignment from the Centers for Medicare & Medicaid Services?

The Matthew M Diesselhorst was assigned its 1104022417 on 2007-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Matthew M Diesselhorst's information last updated?

The Matthew M Diesselhorst's information was last updated on 2020-04-07.

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