Paul J Diesfeld in Bridgeton - Physician Assistant
Paul J Diesfeld - NPI 1396796041
Paul J Diesfeld is a Physician Assistant in Bridgeton, Missouri. Paul J Diesfeld practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Paul J Diesfeld is 1396796041. The last update date is 2020-10-21.
Paul J Diesfeld's current location address is 12349 De Paul Dr Ste 100, Bridgeton, Missouri. You can contact this provider via phone number 3142913399. The mailing address for Paul J Diesfeld is 12349 De Paul Dr Ste 100, Bridgeton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul J Diesfeld |
|---|---|
| Address | 12349 De Paul Dr Ste 100, Bridgeton, Missouri |
| Phone Number | 3142913399 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1396796041 |
|---|---|
| Provider Enumeration Date | 2006-05-15 |
| Last Updated Date | 2020-10-21 |
Provider Mailing Address Detail
| Address | 12349 De Paul Dr Ste 100 |
|---|---|
| City | Bridgeton |
| State | Missouri (MO) |
| Post Code | 6304425120 |
| Phone Number | 3142913399 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 119779 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 970013400 | MO | RAILROAD MEDICARE |
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What is the unique identifier code issued to Paul J Diesfeld by the Centers for Medicare & Medicaid Services?
The Paul J Diesfeld has been assigned the NPI (National Provider Identifier) 1396796041. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Paul J Diesfeld located?
The Paul J Diesfeld is located at 12349 De Paul Dr Ste 100, Bridgeton, MO 6304425120.
What is the area of specialization for Paul J Diesfeld, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Paul J Diesfeld is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
When was the Paul J Diesfeld's 1396796041 issued?
The Paul J Diesfeld's 1396796041 was issued on 2006-05-15.
As of what date were the details pertaining to Paul J Diesfeld last refreshed?
The information related to the Paul J Diesfeld, including its address, specialty, and other relevant details, was last updated on 2020-10-21.
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