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Individual

JEFFREY DAVID DIEBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6200 W PARKER RD, PLANO, TX 75093-7939
(972) 608-8000
Mailing address
1820 PRESTON PARK BLVD, 1825, PLANO, TX 75093-3656
(972) 867-7862
(972) 612-1623

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J4086
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
122212702
TX
01
83R238
COLLIN COUNTY PTAN
TX
Enumeration date
05/03/2006
Last updated
05/11/2016
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