Individual
PAUL L DIEGEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 W MAIN ST, VALLEY CITY, ND 58072-3250
(701) 845-8060
(701) 845-8067
Mailing address
401 3RD ST SE, JAMESTOWN, ND 58401-4247
(701) 253-5300
(701) 253-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7956
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004H1DI
MNBS #
ND
01
—
004H2DI
MNBS #
ND
01
—
004H4DI
MNBS #
ND
01
—
0121876
M,EDICAID #
ND
01
—
0121877
MEDICA #
ND
01
—
0121878
MEDICAID #
ND
01
—
0121879
MEDICA #
ND
05
—
11223
—
ND
01
—
135567
UCARE #
ND
01
—
26076
NDBS #
ND
01
—
26077
NDBS #
ND
01
—
46793
LHS #
ND
01
—
990799
AMERICA'S PPO/ARAZ #
ND
01
—
DA9061017278
PREFERRED ONE #
ND
01
—
HP30521
HEALTHPARTNERS #
ND
Enumeration date
06/18/2006
Last updated
07/09/2007
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