Individual
BRIAN DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, GRANT S101, STANFORD, CA 94305-2200
(650) 723-6661
(650) 498-6205
Mailing address
300 PASTEUR DR, GRANT S101, STANFORD, CA 94305-2200
(650) 723-6661
(650) 498-6205
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A126497
CA
207RH0003X
Hematology & Oncology Physician
A126497
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2012
Last updated
04/11/2018
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