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Individual

CATHERINE M DIEBOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
604 N ACADIA RD STE 500, THIBODAUX, LA 70301-4743
(985) 448-1216
(985) 446-8765
Mailing address
PO BOX 5478, THIBODAUX, LA 70302-5478
(985) 448-1216
(985) 446-8765

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
11300R
LA
207V00000X
Obstetrics & Gynecology Physician
Primary
MD.11300R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1661481
LA
01
272804D
UNITED HEALTH CARE
LA
01
5378010
AETNA PPO
LA
01
P00062142
RAILROAD
LA
Enumeration date
08/31/2006
Last updated
04/16/2026
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