Individual provider · Type 1 NPI

Timothy Sean Diesel, DOM, PA-C

Medical Physician Assistant · Albuquerque, NM

NPI number 1619056553 Active

Practice location

1240 Pennsylvania St NE
Albuquerque, NM 87110-7441

Call (505) 291-2040 Map

Mailing address

8100 Constitution Pl NE
Albuquerque, NM 87110-7643

Specialties and licenses

TaxonomyCodeLicense
Acupuncturist 171100000X765 (NM)
Medical Physician Assistant Primary 363AM0700XPA2009-0010 (NM)

Medical Physician Assistant: Definition to come...

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About NPI 1619056553

Timothy Sean Diesel, DOM, PA-C's National Provider Identifier is 1619056553, issued on Nov 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Albuquerque, NM. The record was last updated on Jul 17, 2024.