Individual
DR. TIMOTHY SEAN DIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOM, PA-C
Contact information
Practice address
1240 PENNSYLVANIA ST NE, ALBUQUERQUE, NM 87110-7441
(505) 291-2040
Mailing address
8100 CONSTITUTION PL NE, ALBUQUERQUE, NM 87110-7643
(505) 291-2040
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
765
NM
363AM0700X
Medical Physician Assistant
Primary
PA2009-0010
NM
Other
Enumeration date
11/02/2006
Last updated
07/17/2024
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