Individual
DR. DALE F DIERBERG
Active
Individual
DR. DALE F DIERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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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