Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARY D DIEDERICH, M.D.
ActiveGARY D DIEDERICH, M.D. is a Family Medicine healthcare provider located in BRISTOL, New Hampshire. NPI 1720029259 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BRISTOL, NH
Registration Details
- NPI Number
- 1720029259
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2006 (20.186207153702 yrs)
- Last Updated
- Nov 30, 2007
- License
-
6515 (NH)
Practice Information
- Address
-
859 LAKE STBRISTOL, NH, 032224506Browse NH providers · Browse ZIP 03222
- Phone
- 6037446200
- Fax
- 6037449024
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BRISTOL, NH
| Name | Credential | NPI |
|---|---|---|
| PETER G DOANE | MD | 1184694804 |
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.