Individual provider · Type 1 NPI

Thompson Mack Dietz Iv, MD

Diagnostic Radiology Physician · Slidell, LA

NPI number 1083619241 Active

Practice location

1495 Gause Blvd
Slidell, LA 70458-2205

Fax (985) 405-5201

Mailing address

PO Box 8861
Metairie, LA 70011-8861

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X013772 (LA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5 other providers at this address

Other diagnostic radiology physician providers in Slidell

See all in Slidell →

About NPI 1083619241

Thompson Mack Dietz Iv, MD's National Provider Identifier is 1083619241, issued on Jun 15, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Slidell, LA. The record was last updated on Feb 20, 2008.