Individual
GAIL DIETMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1000 E PRIMROSE ST, SPRINGFIELD, MO 65807-5154
(417) 269-5584
Mailing address
5821 E JACARANDA ST, MESA, AZ 85205-3588
(480) 760-1324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2022021919
MO
183500000X
Pharmacist
S016606
AZ
Other
Enumeration date
05/21/2014
Last updated
09/20/2023
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