Individual
AMANDA DIPPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 S 31ST ST, MS-11-AG062, TEMPLE, TX 76508-0001
(254) 724-5815
(254) 724-0408
Mailing address
2401 S 31ST ST, MS-11-AG062, TEMPLE, TX 76508-0001
(254) 724-5815
(254) 724-0408
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
BP10050376
TX
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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