Individual
DR. SAMANTHA M. DIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1278 BRYAN RD, O FALLON, MO 63366-3771
(636) 614-0401
Mailing address
1278 BRYAN RD, O FALLON, MO 63366-3771
(636) 614-0401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2013001722
MO
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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