Doctor Name: | JOHN DIAL |
NPI Number: | 1215974217 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 09551 |
Business Practice Address: | 220 Highway 12 W Kosciusko, MS - 390903208 |
Business Phone Number: | 6622894322 |
Business Fax Number: | |
Mailing Address: | 105 Sawmill Cv, MADISON |
State: | MS |
Postal Code: | 391107040 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207PE0004X |
License Number: | 09551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | Emergency Medical Services |
Taxonomy Definition: | An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |