Individual
DAVID L. DIEDRICHSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
75 PRINGLE WAY, SUITE 601, RENO, NV 89502-1464
(775) 326-8380
(775) 786-8684
Mailing address
75 PRINGLE WAY, SUITE 601, RENO, NV 89502-1464
(775) 326-8380
(775) 786-8684
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3056
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00253305
RAILROAD MEDICARE
NV
Enumeration date
10/03/2006
Last updated
04/22/2008
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