Individual provider · Type 1 NPI

Clark B. Diffendaffer, MD

Diagnostic Radiology Physician · Lincoln, NE

NPI number 1174612337 Active

Practice location

7601 Pioneers Blvd
Lincoln, NE 68506-4675

Mailing address

601 E Rollins St
Orlando, FL 32803-1248

Other practice locations

  • 601 E Rollins St, Orlando, FL 32803-1248 · (407) 200-2355

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X24399 (NE)
Diagnostic Radiology Physician Primary 2085R0202XTRN9101 (FL)

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

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About NPI 1174612337

Clark B. Diffendaffer, MD's National Provider Identifier is 1174612337, issued on Oct 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lincoln, NE. The record was last updated on Jan 28, 2022.