Individual
CARRIE ALISSA DIEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2530 S TELSHOR BLVD, SUITE 103, LAS CRUCES, NM 88011-4951
(575) 556-6400
(575) 556-6405
Mailing address
2530 S TELSHOR BLVD, SUITE 103, LAS CRUCES, NM 88011-4951
(575) 556-6400
(575) 556-6405
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD2014-0801
NM
208600000X
Surgery Physician
P7425
TX
Other
Enumeration date
06/06/2008
Last updated
11/17/2014
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