Daniel Scott Dietrich MD

NPI 1053341669 - Radiology - 2085R0202X

NPI Details
NPI 1053341669
Gender Male
Enumeration Date 07/03/2006
Last Updated 01/15/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
546 E PINE ST
STOCKTON CA, 95204-5525, US
Phone (209) 467-1000
Fax (209) 464-4439
Business Location
920 BEREA DR
TURLOCK CA, 95382-6612, US
Phone (209) 669-4767
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State California
License Number A95731
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According to our database, Dr. Daniel Scott Dietrich MD NPI is 1053341669, taxonomy code is 2085R0202X and license number is A95731, license state is located at California. Daniel Scott Dietrich MD physically located at 546 E Pine St, Stockton CA, 95204-5525. NPI Number Daniel Scott Dietrich MD has the Individual type.

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1053341669 NPI number is provided on an as is basis without warranty of any kind. 1053341669 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel Scott Dietrich MD are for informational purposes only.