PAUL G DIEDERICH

OVERLAND PARK, KS
NPI1003896895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: KS  04-33478)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MO  R9699)
Enumeration Date2006-01-18
Last Update Date2009-06-16
Business Address
Dr. PAUL G DIEDERICH M.D.
10787 NALL AVE STE. 310
OVERLAND PARK, KS 66211-1375
Phone number: 913-945-6900
Mailing Address
Dr. PAUL G DIEDERICH M.D.
2330 SHAWNEE MISSION PARKWAY MEDICAL ADMINISTRATIVE SERVICES OF KU STE. 312
WESTWOOD, KS 66205-0000
Phone number: 913-945-5614
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