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Individual

DR. DAVID HOMER DIETEL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2635 N 7TH ST, GRAND JUNCTION, CO 81501-8209
(970) 244-1977
(970) 244-2898
Mailing address
1905 MONUMENT CANYON DR, GRAND JUNCTION, CO 81503-9526
(970) 242-0904

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
28013
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01280130
CO
05
T0840
UT
Enumeration date
05/01/2006
Last updated
07/09/2007
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