Individual provider · Type 1 NPI
Dirk Ross Diefendorf, MD
Sports Medicine (Neuromusculoskeletal Medicine) Physician · San Mateo, CA
Practice location
101 S Ellsworth Ave, Suite 607
San Mateo, CA 94401-3956
Fax (650) 347-0566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician Primary | 204C00000X | G53558 (CA) |
Sports Medicine (Neuromusculoskeletal Medicine) Physician: A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sp…
About NPI 1467559443
Dirk Ross Diefendorf, MD's National Provider Identifier is 1467559443, issued on Sep 20, 2006. The primary taxonomy on file is Sports Medicine (Neuromusculoskeletal Medicine) Physician (204C00000X), and the practice location is in San Mateo, CA. The record was last updated on Aug 30, 2010.