LARRY DIEDIKER, L.A.T.

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1245244615

Practice Address

508 MEDICAL CENTER BLVD
Conroe, TX 77304

Phone: (936) 760-6631

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes ATO170 (TX)

Frequently Asked Questions

NPI 1245244615 is the National Provider Identifier for LARRY DIEDIKER, L.A.T., a Specialist/Technologist - Athletic Trainer provider located in Conroe, TX. This NPI was enumerated on July 28, 2006.
LARRY DIEDIKER, L.A.T. practices at 508 MEDICAL CENTER BLVD, Conroe, TX 77304.

Quick Facts

NPI
1245244615
Type
Individual
Enumerated
Jul 28, 2006
Last Updated
Jul 8, 2007

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