Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL F DIFFENDALL, OD
ActiveOptometrist · PHOENIX, MD
Registration Details
- NPI Number
- 1184667057
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (19.888241743341 yrs)
- Last Updated
- Oct 30, 2013
- License
-
TA1372 (MD)
Practice Information
- Address
-
3332 PAPER MILL RDPHOENIX, MD, 211311419Browse MD providers · Browse ZIP 21131
- Phone
- 4106281510
- Fax
- 4106281511
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PHOENIX, MD
| Name | Credential | NPI |
|---|---|---|
| DR. BARRY M WEINER | O.D. | 1023099223 |
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.