| Dibert & Nutt Md Pa | |
|
2555 Court Dr Suite 400 Gastonia NC 28054-2134 | |
| (704) 864-5550 | |
| (704) 864-7448 |
| Full Name | Dibert & Nutt Md Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 2555 Court Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Steven Wesley Dibert (PHYSICIAN) |
| Authorized Official Contact | 7048645550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dibert & Nutt Md Pa 2555 Court Dr Suite 400 Gastonia NC 28054-2134 Ph: (704) 864-5550 | Dibert & Nutt Md Pa 2555 Court Dr Suite 400 Gastonia NC 28054-2134 Ph: (704) 864-5550 |
| NPI Number | 1376597401 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376597401 | NPI | - | NPPES |
| 28459 | Other | NC | BLUE CROSS BLUE SHIELD |
| 5902832 | Medicaid | NC | |
| 22658 | Other | NC | PARTNERS MEDICARE |
| 8928459 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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