Individual
DR. DALE F DIERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
509 WEST EIGHTEENTH STREET, DEPT. OF RADIOLOGY, HERMANN, MO 65041
(573) 486-2191
Mailing address
2753 AUTUMN RUN CT, CHESTERFIELD, MO 63005-7030
(636) 227-6839
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
32706
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004136255
AETNA
MO
01
—
1207907
FIRST HEALTH
MO
01
—
3079111
CIGNA
MO
01
—
3201
HCUSA
MO
01
—
784
BLUE SHIELD
MO
01
—
8076
GHP
MO
Enumeration date
08/07/2006
Last updated
11/27/2007
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