Dietz, Connor Deryl

Dietz, Connor Deryl is an individual health care provider with primary practice located at 675 Nelson Rising Lane Suite 190, San Francisco CA 94158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Dietz, Connor Deryl can be contacted via phone (415) 866-6835.

Contact Information

Primary practice address
675 Nelson Rising Lane Suite 190 San Francisco CA 94158
Phone: (415) 866-6835
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry 2084B0040X A198459 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A198459 California

Profile Details

NPI number 1780417493
LBN Legal business name Dietz, Connor Deryl
Credentials MD, FRCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2024
Last updated Aug 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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