Susan Patricia Dierkes, PA-C

NPI #1972708402 in Dresden, Tennessee

Provider Information

NPI Number: 1972708402
Entity Type: Individual
Name: Susan Patricia Dierkes, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 15, 2007
Last Updated: Oct 9, 2008

Practice Location

Address: 811 MORROW ST
Address 2: SUITE 208
City: Dresden
State: Tennessee
ZIP Code: 38225-1846
Phone: (731) 364-3353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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