Individual
DAVID P DIEMER
Active
Individual
DAVID P DIEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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