Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANE DENNIS DIECKMAN, D.O.
ActiveDR. SHANE DENNIS DIECKMAN, D.O. is a Diagnostic Radiology healthcare provider located in OFFUTT AFB, Nebraska. NPI 1487647368 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · OFFUTT AFB, NE
Registration Details
- NPI Number
- 1487647368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2005 (20.92333341931 yrs)
- Last Updated
- Oct 15, 2019
- Licenses
-
DR.0055905 (CO)305 (NE)
Practice Information
- Address
-
2501 CAPEHART RDOFFUTT AFB, NE, 681131043Browse NE providers · Browse ZIP 68113
- Phone
- 4022942448
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
- Additional Specialty
- Diagnostic Radiology
Other Diagnostic Radiology Providers in OFFUTT AFB, NE
| Name | Credential | NPI |
|---|---|---|
| DR. MARCUS SCOTT MAYDEW | MD | 1619916269 |
| DR. NOAL ISAAC HART | M.D. | 1679754824 |
| DR. JONATHAN MULDERMANS | MD | 1558741991 |
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.