Individual
JOHN E DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SAINT VINCENT CIR, SUITE 160, LITTLE ROCK, AR 72205-5405
(501) 661-0037
(501) 661-0038
Mailing address
1 SAINT VINCENT CIR, SUITE 160, LITTLE ROCK, AR 72205-5405
(501) 661-0037
(501) 661-0038
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
E0736
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129921001
—
AR
Enumeration date
01/26/2006
Last updated
05/20/2015
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