Individual
DUANE ALLAN DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
248 PLEASANT ST STE G100, CONCORD, NH 03301-2588
(603) 230-1970
(603) 227-7573
Mailing address
248 PLEASANT ST STE G100, CONCORD, NH 03301-2588
(603) 230-1970
(603) 230-1971
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H9885
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
16751
NH
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
H9885
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130560907
—
TX
Enumeration date
02/27/2006
Last updated
09/13/2021
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