Individual provider · Type 1 NPI

Richard Edward Dietzen, MD

Specialist · El Dorado, AR

NPI number 1871580704 Active

Practice location

403 W Oak St, Suite 302
El Dorado, AR 71730-4586

Fax (870) 863-6675

Mailing address

PO Box 2116
El Dorado, AR 71731-2116

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XE-1069 (AR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1871580704

Richard Edward Dietzen, MD's National Provider Identifier is 1871580704, issued on Oct 5, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in El Dorado, AR. The record was last updated on Oct 27, 2010.