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Richard Edward Dietzen, MD
Specialist in El Dorado, Arkansas
NPI 1871580704

Richard Edward Dietzen is a Specialist based in El Dorado, AR. Richard Edward Dietzen practices in El Dorado, AR and has the professional credentials of MD. The NPI Number for Richard Edward Dietzen is 1871580704 and holds a License No. E-1069 (Arkansas).

The current practice location address for Richard Edward Dietzen 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, 71731-2116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871580704
Provider Name
Richard Edward Dietzen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
403 W Oak St, El Dorado, AR, 71731-2116
Phone Number
870-863-6444
Fax Number
870-863-6675
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
136119002 05 AR
130492001 05 AR
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
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
E-1069 (Arkansas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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