Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMPSON MACK DIETZ IV, MD
Active Sole ProprietorDR. THOMPSON MACK DIETZ IV, MD is a Diagnostic Radiology healthcare provider located in SLIDELL, Louisiana. NPI 1083619241 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · SLIDELL, LA
Registration Details
- NPI Number
- 1083619241
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2005 (21.185421123962 yrs)
- Last Updated
- Feb 20, 2008
- License
-
013772 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1495 GAUSE BLVDSLIDELL, LA, 704582205Browse LA providers · Browse ZIP 70458
- Phone
- 9854055200
- Fax
- 9854055201
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in SLIDELL, LA
| Name | Credential | NPI |
|---|---|---|
| DR. ARTHUR JERRY SATTERLEE | MD | 1013912278 |
| DR. THADDEUS LAMAR TEAFORD | MD | 1689679615 |
| DR. STEVEN DAVID YELLIN | MD | 1447255450 |
| DR. JAIME SANTIAGO TUAZON | MD | 1881699809 |
| DR. JASH I PATEL | M.D. | 1750386587 |
| KISHORE VASUDEV KAMATH | M.D. | 1235105479 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.