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Individual

WILLIAM F DIETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 902-6140
(541) 902-7533
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
(541) 902-6140
(541) 902-7533

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269705
OR
Enumeration date
07/12/2006
Last updated
10/11/2007
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