Individual
DR. JOSEPH W DIEHL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15 SANTA ROSA ST, SN LUIS OBISP, CA 93405-1811
(805) 541-2650
Mailing address
15 SANTA ROSA ST, SN LUIS OBISP, CA 93405-1811
(805) 541-2650
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A124317
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A124317
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2011
Last updated
12/12/2018
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