| Richard Grenville Diedrich, MD | |
|
1001 D W. Broadway, Farmington, NM 87401 | |
| (505) 327-4796 | |
| Not Available |
| Full Name | Richard Grenville Diedrich |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 1001 D W. Broadway, Farmington, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255363149 | NPI | - | NPPES |
| 27870 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | NM 80-29 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Grenville Diedrich, MD 116 Pine River Ranch Cir, Bayfield, CO 81122-9325 Ph: (970) 884-4831 | Richard Grenville Diedrich, MD 1001 D W. Broadway, Farmington, NM 87401 Ph: (505) 327-4796 |
R Stephen Rankin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2300 E 30th St, Bldg C2, Farmington, NM 87401 Phone: 505-324-1000 Fax: 505-324-1199 | |
Preston Herrington Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Ste 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701 | |
.peggy R Tolliver, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Suite 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701 | |
Dr. Bradley J. Scoggins, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave Ste 102, Farmington, NM 87401 Phone: 505-609-9700 | |
Dr. Roberto Reble Bamba Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 407 S Schwartz Ave, Suite 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6701 | |
Dr. Page Pomo, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 W Broadway Ste D, Farmington, NM 87401 Phone: 505-327-4796 |