Ryan S. Diederich, Md Pc

LBN: Ryan S. Diederich, Md Pc
Ryan S. Diederich, Md Pc is an health care organization with primary practice located at 4955 S State Route 159 # 1 , Glen Carbon IL 62034-1907. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Ryan S. Diederich, Md Pc can be contacted via phone (618) 288-7855, or through Diederich, Ryan S via phone (618) 288-7855.

Contact Information

Primary practice address
4955 S State Route 159 # 1 Glen Carbon IL 62034-1907
Phone: (618) 288-7855
Fax: (618) 288-7866
Website:
Map and Directions
Authorized official contact:
Name: Diederich, Ryan S Doctor of Medicine (MD)
Phone: (618) 288-7855

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1639817182
LBN Legal business name Ryan S. Diederich, Md Pc
DBA Doing business as
Authorized official Diederich, Ryan S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2022
Last updated May 24th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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