Individual
DR. DIETRICH VON FELDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2345 E PRATER WAY, SPARKS, NV 89434-9600
(775) 336-2777
(775) 336-2803
Mailing address
2345 E PRATER WAY STE 304, SPARKS, NV 89434-9639
(775) 336-2777
(775) 336-2803
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12002
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12002
MEDICAL LICENSE
NV
01
—
MD00013637
MEDICAL LICENSE
WA
Enumeration date
08/19/2006
Last updated
12/01/2010
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