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1740247097
CRAIG ALLAN DIETZ
KANSAS CITY, MO
NPI
1740247097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2003024389)
Enumeration Date
2006-04-28
Last Update Date
2023-06-23
Business Address
Dr. CRAIG ALLAN DIETZ D.O.
3515 BROADWAY ST
KANSAS CITY, MO 64111-2537
Phone number: 816-777-2759
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Mailing Address
Dr. CRAIG ALLAN DIETZ D.O.
3515 BROADWAY BLVD
KANSAS CITY, MO 64111-2501
Phone number: 816-777-2759
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