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Individual

DR. RICHARD LAROY DIETRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4920 CAMPBELL BLVD, KAISER PERMANENTE WHITE MARSH MEDICAL CENTER, NOTTINGHAM, MD 21236-5916
(410) 933-7600
(410) 933-7802
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICAIRE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101221514
VA
208000000X
Pediatrics Physician
Primary
D0026218
MD

Other

Enumeration date
11/28/2006
Last updated
11/25/2011
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