Individual
MR. CHRISTOPHER DAVID DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
247 S ALASKA ST, PALMER, AK 99645-6335
(907) 215-2353
(907) 931-6135
Mailing address
247 S ALASKA ST, PALMER, AK 99645-6335
(907) 215-2353
(907) 931-6135
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
2393
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626073
—
AK
Enumeration date
12/29/2014
Last updated
05/29/2026
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