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1700891264
CHARLES DIETL
ALBUQUERQUE, NM
NPI
1700891264
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: NM 99-188)
Enumeration Date
2006-07-30
Last Update Date
2012-05-18
Business Address
CHARLES DIETL MD
2ND AMBULATORY CARE CTR 2211 LOMAS BLVD. NE
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-6901
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Mailing Address
CHARLES DIETL MD
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120
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