Amy L Dietrich PA C

NPI 1053387522 - Physician Assistant - 363A00000X

NPI Details
NPI 1053387522
Gender Female
Enumeration Date 02/24/2006
Last Updated 05/26/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
705 SIOUX POINT RD
STE 100
DAKOTA DUNES SD, 57049, US
Phone (605) 217-5500
Fax (605) 217-5515
Business Location
705 SIOUX POINT RD
STE 100
DAKOTA DUNES SD, 57049, US
Phone (605) 217-5500
Fax (605) 217-5515
Toxanomy
Taxonomy Code 363A00000X
License State South Dakota
License Number L1728
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According to our database, Amy L Dietrich PA C NPI is 1053387522, taxonomy code is 363A00000X and license number is L1728, license state is located at South Dakota. Amy L Dietrich PA C physically located at 705 Sioux Point Rd, Dakota Dunes SD, 57049. NPI Number Amy L Dietrich PA C has the Individual type.

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1053387522 NPI number is provided on an as is basis without warranty of any kind. 1053387522 is maintained by the National Plan & Provider Enumeration System. The contents of Amy L Dietrich PA C are for informational purposes only.