Organization
EMERALD COAST ORTHOPEDICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R DIETRICH MD (OWNER)
(850) 532-6168
Entity
Organization
Contact information
Practice address
120 N RICHARD JACKSON BLVD STE 140, PANAMA CITY, FL 32407-2522
(850) 532-6168
Mailing address
120 N RICHARD JACKSON BLVD STE 140, PANAMA CITY, FL 32407-2522
(850) 532-6168
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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