Individual
STEVEN L DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 NASON DR, ROARING SPRING, PA 16673-1202
(814) 224-2141
Mailing address
14 CLOVER DR, HOLLIDAYSBURG, PA 16648-2502
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD036133E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011053390008
—
PA
01
—
1966002
BLUE SHIELD
PA
01
—
P00396718
RR MEDICARE
PA
Enumeration date
09/21/2006
Last updated
01/09/2008
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