David Daniel Dieterich DO

NPI 1083603591 - Internal Medicine - 207RC0000X

NPI Details
NPI 1083603591
Gender Male
Enumeration Date 10/18/2005
Last Updated 10/26/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
455 PINELLAS ST
SUITE 400
CLEARWATER FL, 33756-3356, US
Phone (727) 445-1991
Fax (727) 445-1986
Business Location
455 PINELLAS ST
SUITE 400
CLEARWATER FL, 33756-3356, US
Phone (727) 445-1992
Fax (727) 445-1993
Toxanomy
Taxonomy Code 207RC0000X
License State Florida
License Number 053669
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According to our database, David Daniel Dieterich DO NPI is 1083603591, taxonomy code is 207RC0000X and license number is 053669, license state is located at Florida. David Daniel Dieterich DO physically located at 455 Pinellas St, Clearwater FL, 33756-3356. NPI Number David Daniel Dieterich DO has the Individual type.

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1083603591 NPI number is provided on an as is basis without warranty of any kind. 1083603591 is maintained by the National Plan & Provider Enumeration System. The contents of David Daniel Dieterich DO are for informational purposes only.