NPI 1083619241

Thompson Mack Dietz, MD

Practitioner Diagnostic Radiology Physician Slidell, LA

Practice location

Address: 1495 Gause Blvd, Slidell, LA 70458-2205
Phone: (985) 405-5200
Fax: (985) 405-5201
Mailing address: PO Box 8861, Metairie, LA 70011-8861

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 013772 (LA)

Other Radiology providers in Louisiana →

Registry record

NPI: 1083619241
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jun 2005
Record last updated: 20 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.