Whalio Doctors

NPI 1700891264

Charles Dietl, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Albuquerque, NM

Practice location

Address
2nd Ambulatory Care Ctr 2211 Lomas Blvd. NE, Albuquerque, NM 87131-0001
Phone
(505) 272-6901
Fax
(505) 272-6909
Mailing address
933 Bradbury Dr SE Suite 2222, Albuquerque, NM 87106-4374

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 99-188 (NM)

Registry record

NPI
1700891264
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Jul 2006
Record last updated
18 May 2012

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.