Richard Edward Dietzen, M.D.

NPI #1871580704 in El Dorado, Arkansas

Provider Information

NPI Number
1871580704
Entity Type
Individual
Name
Richard Edward Dietzen, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
M.D.
Enumeration Date
Oct 5, 2005
Last Updated
Oct 27, 2010

Practice Location

Address
403 W OAK ST
Address 2
SUITE 302
ZIP Code
71730-4586
Phone
(870) 863-6444

Specialties & Taxonomy Codes

Specialty
Specialist

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