DR. Paul G Diederich, M.D.

NPI #1003896895 in Overland Park, Kansas

Provider Information

NPI Number: 1003896895
Entity Type: Individual
Name: DR. Paul G Diederich, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jan 18, 2006
Last Updated: Jun 16, 2009

Practice Location

Address: 10787 NALL AVE
Address 2: STE. 310
City: Overland Park
State: Kansas
ZIP Code: 66211-1375
Phone: (913) 945-6900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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