Individual
DR. ANTHONY PAUL DIETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
042-0008490
VT
2084P0800X
Psychiatry Physician
Primary
2009-00644
NC
Other
Enumeration date
06/08/2005
Last updated
05/24/2009
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