Richard Grenville Diedrich
MD | Pediatrics | Male
Richard Grenville Diedrich, MD is a Farmington, New Mexico based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Richard Grenville Diedrich is
1001 D W. Broadway, Farmington, New Mexico - 87401. He can be contacted on phone at
505-327-4796.
Richard Grenville Diedrich is a sole proprietor of his business.
NPI number (Unique professional ID) for Richard Grenville Diedrich is
1255363149 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 08 Jul, 2007.
Richard Grenville Diedrich license number is
NM 80-29 for Pediatrics (208000000X) in New Mexico.
Richard Grenville Diedrich is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Richard Grenville Diedrich basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Richard Grenville Diedrich |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Richard Grenville Diedrich address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1001 D W. Broadway
Farmington, NM, 87401
United States |
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| Phone Number : | 505-327-4796 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1255363149 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Grenville Diedrich are as mentioned. Primary taxonomy code for Richard Grenville Diedrich, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | NM 80-29 | NM |
Legacy Identifiers:
Other legacy medical identifiers of Richard Grenville Diedrich such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 27870 | MEDICAID | NM | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 116 Pine River Ranch Cir
Bayfield, CO, 81122-9325
United States |
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| Phone Number : | 970-884-4831 |
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Business Location:
Patients can refer following map for directions to
Richard Grenville Diedrich practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.