Individual
DIANE P DIETLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6729 DEERFOOT PKWY, PINSON, AL 35126-3093
(205) 681-5377
(205) 681-6276
Mailing address
6729 DEERFOOT PKWY, PINSON, AL 35126-3093
(205) 681-5377
(205) 681-6276
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
16605
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1350761
UNITED HEALTHCARE
AL
01
—
51025897
BC/BS
AL
01
—
51507433
BC/BS
AL
Enumeration date
06/28/2006
Last updated
07/08/2007
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