Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DIRK ROSS DIEFENDORF, M.D.
Active Sole ProprietorDR. DIRK ROSS DIEFENDORF, M.D. is a Neuromusculoskeletal Medicine & OMM healthcare provider located in SAN MATEO, California. NPI 1467559443 is currently active in the NPPES registry. Verify at CMS.
Neuromusculoskeletal Medicine & OMM · SAN MATEO, CA
Registration Details
- NPI Number
- 1467559443
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.934062566405 yrs)
- Last Updated
- Aug 30, 2010
- License
-
G53558 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
101 S ELLSWORTH AVESUITE 607SAN MATEO, CA, 944013956Browse CA providers · Browse ZIP 94401
- Phone
- 6503470157
- Fax
- 6503470566
- Primary Specialty
-
Neuromusculoskeletal Medicine & OMM
204C00000X
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.