Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Martin Lee Dierks Jr., IDC

Individual provider Independent Duty Corpsman · NPI 1902132434

Martin Lee Dierks Jr., IDC is an Independent Duty Corpsman in De Soto, Missouri. Registered with an NPI since 2009.

In the registry since
2009
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Practice location Address checks out

2915 Parthenon Dr
De Soto, MO 63020-4645
Phone: (757) 650-8436
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1902132434
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedOctober 17, 2009
Last updated in NPPESOctober 17, 2009