SearchMissouri1041C0700X

Robert Dieckhoff

NPI 1124291679 · on the registry since 2008 · sole proprietor

Practice

Address
216 Kevin Cir
Mount Vernon, MO 65712
Phone
(417) 466-0530
Fax
(417) 667-2410

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri