Individual
DR. JOSEPH R DEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 1ST AVE STE 600, FAIRBANKS, AK 99701
(907) 452-8251
Mailing address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 452-8251
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
140668
AK
2084P0800X
Psychiatry Physician
262855-1
NY
2084P0800X
Psychiatry Physician
MD19178
ME
2084P0800X
Psychiatry Physician
ME118056
FL
Other
Enumeration date
09/30/2008
Last updated
07/19/2019
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