Individual
DR. EDWIN HENRY DIETRICH
Active
Individual
DR. EDWIN HENRY DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A129815
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207P00000X EMERGENCY
—
CA
Enumeration date
11/19/2012
Last updated
12/16/2021
Update your record
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