Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PAUL J DIESFELD, PA-C
ActivePhysician Assistant · BRIDGETON, MO
Registration Details
- NPI Number
- 1396796041
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (19.948327724787 yrs)
- Last Updated
- Oct 21, 2020
- License
-
119779 (MO)
Practice Information
- Address
-
12349 DE PAUL DR STE 100BRIDGETON, MO, 630442512Browse MO providers · Browse ZIP 63044
- Phone
- 3142913399
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BRIDGETON, MO
| Name | Credential | NPI |
|---|---|---|
| ANDREW J WAHLE | PA | 1306828819 |
| MRS. LYNN M ROBBINS | PA-C | 1356393961 |
| KIMBERLY L. LUU | PA | 1669553590 |
| MICHELE L BENA | PA-C | 1720127012 |
| MRS. AMBER RENEE JOHNSON | PAC MMS | 1275706913 |
| COURTNEY C GRODIE | PA | 1437590437 |
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.