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Richard E. Dietzen, M.d.,p.a.
Medical Specialty Clinic/Center in El Dorado, Arkansas
NPI 1174738397

Richard E. Dietzen, M.d.,p.a. is a Medical Specialty Clinic/Center based in El Dorado, AR and is specialized in Medical Specialty. Richard E. Dietzen, M.d.,p.a. practices in El Dorado, AR. The NPI Number for Richard E. Dietzen, M.d.,p.a. is 1174738397 and holds a License No. E-1069 (Arkansas).

The current practice location address for Richard E. Dietzen, M.d.,p.a. is 403 W Oak St, El Dorado, AR and can be reached out via phone at 870-863-6444 and via fax at 870-863-6675.

Location: 403 W Oak St, El Dorado, AR, 71730-4586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174738397
Provider Name
Richard E. Dietzen, M.d.,p.a.
Credential
Provider Entity Type
Organization
Address
403 W Oak St, El Dorado, AR, 71730-4586
Phone Number
870-863-6444
Fax Number
870-863-6675
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
403 W Oak St
City
El Dorado
State
Arkansas
Zip
71730-4586
Phone Number
870-863-6444
Fax Number
870-863-6675
person
Provider Business Mailing Address Details
Address
403 W Oak St
City
El Dorado
State
Arkansas
Zip
71730-4586
Phone Number
870-863-6444
Fax Number
870-863-6675
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
E-1069 (Arkansas)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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