Individual
JOSHUA P DIETZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 S MAIN ST, EMERGENCY DEPARTMENT, MOULTRIE, GA 31768-6925
(850) 391-1752
(850) 273-6357
Mailing address
6300 90TH AVE N, PINELLAS PARK, FL 33782-4709
(850) 391-1752
(850) 273-6357
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
66479
GA
207P00000X
Emergency Medicine Physician
ME107771
FL
Other
Enumeration date
04/29/2009
Last updated
07/05/2016
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