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Michael Diffendall, OD
NPI 1184667057 · on the registry since 2006
Practice
- Address
- 3332 Paper Mill Rd
Phoenix, MD 21131 - Phone
- (410) 628-1510
- Fax
- (410) 628-1511
- Organisation at this address
- Jacksonville Eye Care
M. F. Diffendall Od PaInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-10-30
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 Maryland