Individual
DR. ROBERT CRAIG DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
515 NIOBRARA AVE, ALLIANCE, NE 69301-3421
(308) 762-3124
(308) 762-7326
Mailing address
515 NIOBRARA AVE, ALLIANCE, NE 69301-3421
(308) 762-3124
(308) 762-7326
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
817
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06778
BLUE CROSS BLUE SHIELD
NE
Enumeration date
07/14/2006
Last updated
01/16/2008
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