NPI 1881958015

Traci a Dieckmann, DO

Practitioner Family Medicine Physician Central City, NE

Practice location

Address: 1715 26th St, Central City, NE 68826-9501
Phone: (308) 946-3015
Fax: (308) 946-5914

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 1325 (NE)

Other Family Medicine providers in Nebraska →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 9407952 (KS)

Registry record

NPI: 1881958015
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2012
Record last updated: 28 Jul 2015

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.