DALE F. DIERBERG, MD; NPI #1013011378

Contact Information

DALE F. DIERBERG, MD

509 WEST 18TH STREET
DEPT. OF RADIOLOGY
HERMANN, MO 65041

Phone: 573-486-2191
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for DALE F. DIERBERG, MD

NPI # 1013011378

LBN Legal business name DALE F. DIERBERG, MD

Authorized official DALE DIERBERG - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/08/2006

Last updated 10/09/2007 - About 19 years ago

Identifiers

MO	Medicaid	NO ID UNDER INDIVIDU
MO	Other	784	BCBS
MO	Other	3079111	CIGNA
MO	Other	8076	GROUP HEALTH PLAN
MO	Other	10108	HEALTHCARE USA
MO	Other	10108	HELATHCARE USA

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DALE F. DIERBERG, MD

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for DALE F. DIERBERG, MD

Reviews for DALE F. DIERBERG, MD