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NPI Code Detail

MEDICARE: JOSEPH A DIMEO D.O.

MEDICARE:   JOSEPH A DIMEO  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianOP60011956WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205848942
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH A DIMEO D.O.
Provider Business Mailing Address
First Line : 732 SUMMITVIEW AVE
Second Line : #621
City : YAKIMA
State : WA
Zip : 98902-3032
Country : US
Telephone Number : 509-574-4455
Fax Number : 509-574-4481
Provider Business Practice Location Address
First Line : 2501 BUSINESS LN
Second Line :
City : YAKIMA
State : WA
Zip : 98901-1167
Country : US
Telephone Number : 509-575-4800
Fax Number : 509-573-3400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2006
Last Update Date : 01/09/2009

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