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Contact Information

CONNOR D DIETZ, MD, FRCPC
675 NELSON RISING LANE
SUITE 190
SAN FRANCISCO, CA94158
 Phone: 415-866-6835
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Behavioral Neurology & Neuropsychiatry

2084B0040X
Indicates primary specialty

NPI Profile & details for CONNOR D DIETZ · (Male)

NPI # 1780417493
Status Active
Credentials MD, FRCPC
Entity Individual
Enumeration date 08/20/2024
Last updated 08/20/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • CA License # A198459
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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