Individual
DR. MARK DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3687 VETERANS DR, FORT HARRISON VAMC, FORT HARRISON, MT 59636-9703
(406) 447-7708
(406) 447-7991
Mailing address
3687 VETERANS DR, FORT HARRISON VAMC, FORT HARRISON, MT 59636-9703
(406) 447-7708
(406) 447-7991
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
8501
MT
Other
Enumeration date
08/10/2006
Last updated
06/13/2011
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