Individual
JOSEPH THOMAS DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
400 TAYLOR RD, MONTGOMERY, AL 36117-3512
(334) 277-8330
Mailing address
400 TAYLOR RD, MONTGOMERY, AL 36117-3512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-185895
AL
Other
Enumeration date
01/08/2024
Last updated
01/18/2024
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