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Paul Diedrich, PA-C
Medical Physician Assistant in Las Vegas, Nevada
NPI 1841260742

Paul Diedrich is a Medical Physician Assistant based in Las Vegas, NV and is specialized in Medical. Paul Diedrich practices in Las Vegas, NV and has the professional credentials of PA-C. The NPI Number for Paul Diedrich is 1841260742 and holds a License No. PA870 (Nevada).

The current practice location address for Paul Diedrich is 2704 N Tenaya Way, Las Vegas, NV and can be reached out via phone at 028-775-1997 and via fax at 702-363-8753.

Location: 2704 N Tenaya Way, Las Vegas, NV, 89133-5380
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Provider Profile Details
NPI Number
1841260742
Provider Name
Paul Diedrich
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2704 N Tenaya Way, Las Vegas, NV, 89133-5380
Phone Number
028-775-1997
Fax Number
702-363-8753
Provider Enumeration Date
01/24/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100504092 05 NV
100504091 05 NV
institution
Provider Business Practice Location Address Details
Address
2704 N Tenaya Way
City
State
Zip
89128-0424
Phone Number
028-775-1997
Fax Number
702-363-8753
person
Provider Business Mailing Address Details
Address
2704 N Tenaya Way
City
State
Zip
89128-0424
Phone Number
028-775-1997
Fax Number
702-363-8753
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA870 (Nevada)
Definition
Definition to come...
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