Richard Grenville Diedrich, MD

NPI #1255363149 in Farmington, New Mexico

Provider Information

NPI Number: 1255363149
Entity Type: Individual
Name: Richard Grenville Diedrich, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1001 D W. BROADWAY
City: Farmington
State: New Mexico
ZIP Code: 87401
Phone: (505) 327-4796

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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