Individual
DR. PATRICIA A DIETZGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0039586
CO
207Q00000X
Family Medicine Physician
4031
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026461
KAISER COMMERCIAL NUMBER
CO
05
—
77058721
—
CO
01
—
P00311738
PALMETO GBA
AZ
Enumeration date
11/09/2005
Last updated
06/07/2021
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