Dr. Dirk Ross Diefendorf
Sports Medicine Doctor
101 S Ellsworth Ave Suite 607
San Mateo
, California 94401-3956
Dr. Dirk Ross Diefendorf
Sports Medicine Doctor
101 S Ellsworth Ave Suite 607
San Mateo
, California 94401-3956
(650) 347-0566
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About
Features
Specialties
- Sports Medicine Doctor
Languages spoken
- English
Location
First Address
- Dr. Dirk Ross Diefendorf
- 101 S Ellsworth Ave Suite 607
- San Mateo, CA
- Zip : 94401-3956
- Fax : (650) 347-0566
- Phone : (650) 347-0157
Second Address
- Dr. Dirk Ross Diefendorf
- 101 S Ellsworth Ave Suite 607
- San Mateo, CA
- Zip : 94401-3956
- Fax : (650) 347-0566
- Phone : (650) 347-0157
Reviews
FAQs
Where did Dr. Dirk Ross Diefendorf attend graduate school?
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Where did Dr. Dirk Ross Diefendorf do his fellowship?
Is Dr. Dirk Ross Diefendorf board certified?
What type of doctor is Dr. Dirk Ross Diefendorf
In what state does Dr. Dirk Ross Diefendorf practice in?
Where is Dr. Dirk Ross Diefendorf ’s practice located?
What is Dr. Dirk Ross Diefendorf ’s gender?
Is Dr. Dirk Ross Diefendorf a sole practitioner?
Is Dr. Dirk Ross Diefendorf accepting new patients?
What languages does Dr. Dirk Ross Diefendorf speak?
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Does Dr. Dirk Ross Diefendorf offers telemedicine?
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Does Dr. Dirk Ross Diefendorf have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204C00000X | Sports Medicine Doctor | G53558 | CA |
National Provider Identifier
| NPI | 1467559443 |
|---|---|
| Provider Name | Dr. Dirk Ross Diefendorf |
| First Address | San Mateo, CA 94401-3956 |
| Second Address | San Mateo, CA 94401-3956 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 30/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A93235 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.