Organization · Type 2 NPI
Richard E. Dietzen, M.d.,p.a.
Medical Specialty Clinic/Center · El Dorado, AR
Practice location
403 W Oak St, Suite 302
El Dorado, AR 71730-4586
Fax (870) 863-6675
Mailing address
403 W. Oak St, Suite 302
El Dorado, AR 71730-4586
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | E-1069 (AR) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
7 other providers at this address
- Dr. Henry L. GomezPediatrics Physician El Dorado, AR NPI 1366621252
- South Arkansas Diagnostic ClinicNurse Practitioner El Dorado, AR NPI 1306882790
- Allan Pirnique, MDFamily Medicine Physician El Dorado, AR NPI 1013973452
- Angela Norman, FNPFamily Nurse Practitioner El Dorado, AR NPI 1174613962
- Julia Kay M. Hardin, APNNurse Practitioner El Dorado, AR NPI 1023092418
- Kris Bryan, APNPrimary Care Nurse Practitioner El Dorado, AR NPI 1447583885
- Richard Edward Dietzen, MDSpecialist El Dorado, AR NPI 1871580704
About NPI 1174738397
Richard E. Dietzen, M.d.,p.a.'s National Provider Identifier is 1174738397, issued on May 11, 2007. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in El Dorado, AR. The record was last updated on Jan 18, 2008.