Individual
DR. ALEXIS ANNE DIETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW STE 405, WASHINGTON, DC 20010-2989
(984) 974-0496
(984) 974-0499
Mailing address
106 IRVING ST NW STE 405, WASHINGTON, DC 20010-2989
(202) 877-6526
(202) 877-0530
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2012-00453
NC
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
MD048243
DC
Other
Enumeration date
05/30/2008
Last updated
10/19/2020
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