DR. Shane Dennis Dieckman, D.O.
NPI #1487647368 in Offutt Afb, Nebraska
Provider Information
- NPI Number
- 1487647368
- Entity Type
- Individual
- Name
- DR. Shane Dennis Dieckman, D.O.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiology - Diagnostic Radiology
- Credential
- D.O.
- Enumeration Date
- Aug 26, 2005
- Last Updated
- Oct 15, 2019
Practice Location
- Address
- 2501 CAPEHART RD
- City
- Offutt Afb
- State
- Nebraska
- ZIP Code
- 68113-1043
- Phone
- (402) 294-2448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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