MIKE TODD DIEDE

SPRINGVILLE, UT
NPI1184699738
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: UT  6743304-4810)
Enumeration Date2006-02-17
Last Update Date2019-09-30
Business Address
Dr. MIKE TODD DIEDE ATC
2178 BRIDGER DR
SPRINGVILLE, UT 84663-9469
Phone number: 801-422-2145
Mailing Address
Dr. MIKE TODD DIEDE ATC
1500 UNIVERSITY DR PE 109
BILLINGS, MT 59101-0245
Phone number: 406-657-2351
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