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Organization
RICHARD E. DIETZEN, M.D.,P.A.
Active
Organization
RICHARD E. DIETZEN, M.D.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD EDWARD DIETZEN M.D. (PHYSICIAN)
(870) 863-6444
Entity
Organization
Contact information
Practice address
403 W OAK ST, SUITE 302, EL DORADO, AR 71730-4586
(870) 863-6444
(870) 863-6675
Mailing address
403 W. OAK ST, SUITE 302, EL DORADO, AR 71730-4586
(870) 863-6444
(870) 863-6675
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
E-1069
AR
Other
Enumeration date
05/11/2007
Last updated
01/18/2008
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