Individual
DR. JULIE D DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40916
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015641
KAISER COMMERCIAL NUMBER
CO
05
—
79271014
—
CO
01
—
CO809196
MEDICARE
CO
Enumeration date
06/29/2005
Last updated
04/26/2021
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