Stephen R Dieker, JR.
Medical Specialty
Professional ID
- NPI: 1174731004
- PECOS ID: 1557533296
- Enrollment ID: I20110930000515
- Credential(MD, DO, DPM):
- Medical School: University Of Texas Medical Branch At Galveston
- Medical School Graduation Year: 2005
Hospital Service
- Hospital CCN1: 050006
- Business Name (LBN)1: St Joseph Hospital
Medical Practices
- Organization Name: St Joseph Heritage Healthcare
- Group Practice ID assigned by PECOS: 8921993205
- Number of Group Practice member: 989
Location
- Address1: 1165 Montgomery Dr
- Address2:
- City: Santa Rosa
- State: California
- Zip Code: 95405
- Phone Number: (707)546-3210
Location
- Address1: 2700 Dolbeer St
- Address2:
- City: Eureka
- State: California
- Zip Code: 95501
- Phone Number: (707)445-8121
Location
- Address1: 2710 Dolbeer St
- Address2:
- City: Eureka
- State: California
- Zip Code: 95501
- Phone Number: (707)267-2060
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):