IndividualActive
Charles Dietl, MD
NPI 1700891264 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Albuquerque, NM
Provider details
- NPI number
- 1700891264
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 99-188 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2nd Ambulatory Care Ctr
2211 Lomas Blvd. Ne
Albuquerque, NM 87131-0001
Phone: (505) 272-6901
Fax: (505) 272-6909
Approximate (ZIP-level) locationGet directions
Mailing address
933 Bradbury Dr Se
Albuquerque, NM 87106-4374
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2012-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.