Individual
DR. GREGORY DEAN DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 WARNER DRIVE, LEWISTON, ID 83501
(208) 743-3523
(208) 746-8741
Mailing address
320 WARNER DRIVE, LEWISTON, ID 83501
(208) 743-3523
(208) 746-8741
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
00034506
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
M7482
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010004322
REGENCE
ID
01
—
74823
BCI
ID
05
—
805208800
—
ID
05
—
8204851
—
WA
Enumeration date
09/13/2005
Last updated
06/24/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us