Individual
DAVID R DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 N RICHARD JACKSON BLVD STE 140, PANAMA CITY, FL 32407
(850) 532-6168
(850) 532-6568
Mailing address
120 N RICHARD JACKSON BLVD STE 140, PANAMA CITY, FL 32407-2522
(850) 532-6168
(850) 532-6568
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME74604
FL
Other
Enumeration date
06/30/2006
Last updated
10/22/2019
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