Individual
RICHARD G DIETHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26360
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910701
—
AL
01
—
051005449
BLUE CROSS OF ALABAMA
AL
01
—
26360
MEDICAL LICENSE
AL
01
—
P00417763
RAILROAD MEDICARE
AL
Enumeration date
04/18/2007
Last updated
07/19/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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