Doctor Name: | DR. DALE F DIERBERG |
NPI Number: | 1487663472 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 32706 |
Business Practice Address: | 509 West Eighteenth Street Dept. Of Radiology Hermann, MO - 65041 |
Business Phone Number: | 5734862191 |
Business Fax Number: | |
Mailing Address: | 2753 Autumn Run Ct, CHESTERFIELD |
State: | MO |
Postal Code: | 630057030 |
Phone Number: | 6362276839 |
Fax Number: | |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 11/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 32706 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |