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Shane Dieckman, D.O
NPI 1487647368 · on the registry since 2005
Practice
- Address
- 2501 Capehart Rd
Offutt Afb, NE 68113 - Phone
- (402) 294-2448
- Organisation at this address
- 55 Mdos
United States Air ForceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 204
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
- Licence states on file
- CO, NE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-10-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nebraska