person
Scott F Diedrich, PA
Surgical Physician Assistant in Houma, Louisiana
NPI 1548245814

Scott F Diedrich is a Surgical Physician Assistant based in Houma, LA and is specialized in Surgical. Scott F Diedrich practices in Houma, LA and has the professional credentials of PA. The NPI Number for Scott F Diedrich is 1548245814 and holds a License No. A10602 (Louisiana).

The current practice location address for Scott F Diedrich is 1990 Industrial Boulevard, Houma, LA and can be reached out via phone at 985-868-9300 and via fax at 985-851-0053. You can also correspond with Scott F Diedrich through the mailing address at 1990 INDUSTRIAL BOULEVARD, HOUMA, LA - 71363-4176 (mailing address contact number: 985-868-9300).

Location: 1990 Industrial Boulevard, Houma, LA, 71363-4176
person
Provider Profile Details
NPI Number
1548245814
Provider Name
Scott F Diedrich
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1990 Industrial Boulevard, Houma, LA, 71363-4176
Phone Number
985-868-9300
Fax Number
985-851-0053
Provider Enumeration Date
12/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1624829 05 LA
institution
Provider Business Practice Location Address Details
Address
1990 Industrial Boulevard
City
State
Zip
70363-7055
Phone Number
985-868-9300
Fax Number
985-851-0053
person
Provider Business Mailing Address Details
Address
1990 Industrial Boulevard
City
State
Zip
70363-7055
Phone Number
985-868-9300
Fax Number
985-851-0053
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
A10602 (Louisiana)
Definition
Definition to come...
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