Individual
DAVID P DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3015 N NEW BALLAS RD, SAINT LOUIS, MO 63131
(314) 996-5180
(314) 821-2180
Mailing address
55 WESTPORT PLZ, SUITE 300, SAINT LOUIS, MO 63146-3109
(314) 548-4772
(314) 548-4748
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036114605
IL
2085R0202X
Diagnostic Radiology Physician
Primary
R6G76
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018013128
MO CARE
—
01
—
042012444
MO CARE
—
01
—
1390
MO BLUE
—
01
—
1602178
PH PLAN
—
01
—
203719638
MO CAID
—
01
—
2781
GHP
—
01
—
300137455
RR CARE
—
01
—
431725842MID
MERCY
—
01
—
4942
HCARE USA
—
01
—
P00053301
RR CARE
—
Enumeration date
07/24/2006
Last updated
03/18/2009
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