Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RICHARD GRENVILLE DIEDRICH, MD
ActivePediatrics · FARMINGTON, NM
Registration Details
- NPI Number
- 1255363149
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (19.790041279777 yrs)
- Last Updated
- Jul 8, 2007
- License
-
NM 80-29 (NM)
Practice Information
- Address
-
1001 D W. BROADWAYFARMINGTON, NM, 87401Browse NM providers · Browse ZIP 87401
- Phone
- 5053274796
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in FARMINGTON, NM
| Name | Credential | NPI |
|---|---|---|
| .PEGGY R TOLLIVER | MD | 1457445900 |
| R STEPHEN RANKIN | MD | 1265527642 |
| PRESTON HERRINGTON III | MD | 1265527717 |
| BRENDA JAMES | MD | 1649366105 |
| DR. ROBERTO REBLE BAMBA JR. | M.D. | 1497940175 |
| DR. NKECHINYELU VIVIAN NNEBE | MD | 1982886123 |
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.