Individual provider · Type 1 NPI

Shane Dennis Dieckman, DO

Diagnostic Radiology Physician · Offutt Afb, NE

NPI number 1487647368 Active

Practice location

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Call (402) 294-2448 Map

Mailing address

4102 Pinion Dr
Usaf Academy, CO 80840-2502

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XDR.0055905 (CO)
Diagnostic Radiology Physician Primary 2085R0202X305 (NE)

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 1487647368

Shane Dennis Dieckman, DO's National Provider Identifier is 1487647368, issued on Aug 26, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Offutt Afb, NE. The record was last updated on Oct 15, 2019.