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Individual

DR. ANDREW CHARLES DIETZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MS

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
50809
MN
208000000X
Pediatrics Physician
9008602-1205
UT
208000000X
Pediatrics Physician
A117303
CA
208000000X
Pediatrics Physician
ML20008449
WA
2080P0207X
Pediatric Hematology & Oncology Physician
9008602-1205
UT
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
A117303
CA

Other

Enumeration date
08/23/2006
Last updated
12/16/2020
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