Individual
DR. CHRISTOPHER T DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4141 5TH ST, RAPID CITY, SD 57701-6021
(605) 341-1414
(605) 341-7062
Mailing address
PO BOX 6850, RAPID CITY, SD 57709-6850
(605) 341-7062
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5661
SD
208VP0014X
Interventional Pain Medicine Physician
5661
SD
Other
Enumeration date
10/31/2005
Last updated
07/16/2024
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