DIEHL PLASTIC SURGERY PLLC NPI 1871823591

NPI Information

DIEHL PLASTIC SURGERY, PLLC is a specialist in Raleigh, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DIEHL PLASTIC SURGERY, PLLC NPI is 1871823591. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9636 CLUB VALLEY WAY
RALEIGH, NC
ZIP 27617-604
Phone: (919) 237-1097
Fax: (919) 873-9244

The provider's authorized official is Cynthia L Diehl .
The authorized official title is President and has the following contact phone number (919) 237-1097.

The CLIA number assigned to this NPI record is 34D2020178 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2009 and was last updated on 12/31/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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