Individual
DR. CHRISTOPHER MARK DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12 N THOMPSON ST, RICHMOND, VA 23221-2718
(804) 359-1337
(804) 358-9861
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS10235
FL
Other
Enumeration date
11/08/2007
Last updated
02/09/2017
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