Individual
DR. CHARLES SYLVESTER DIETRICH III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536
(859) 323-3975
(859) 323-1602
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-3975
(859) 323-1602
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
37734
KY
Other
Enumeration date
07/17/2006
Last updated
06/06/2018
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