Individual provider · Type 1 NPI

Stephanie Dieffenthaller

Medical Physician Assistant · Largo, FL

NPI number 1922643345 Active

Practice location

8787 Bryan Dairy Rd Ste 250
Largo, FL 33777-1259

Fax (813) 635-7940

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA9112980 (FL)

Medical Physician Assistant: Definition to come...

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About NPI 1922643345

Stephanie Dieffenthaller's National Provider Identifier is 1922643345, issued on Nov 8, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Largo, FL. The record was last updated on Apr 3, 2023.