William Robert Dietrick in Pasadena - Specialist

William Robert Dietrick - NPI 1881712248

William Robert Dietrick is a Specialist in Pasadena, California. William Robert Dietrick practices all healthcare services and medical treatments related to Specialist. The NPI Number for William Robert Dietrick is 1881712248. The last update date is 2007-07-08.

William Robert Dietrick's current location address is 800 Fairmount Ave, Pasadena, California. You can contact this provider via phone number 6263975126. The mailing address for William Robert Dietrick is 800 Fairmount Ave, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Name William Robert Dietrick
Address 800 Fairmount Ave, Pasadena, California
Phone Number 6263975126
Fax Number
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1881712248
Provider Enumeration Date 2007-03-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 800 Fairmount Ave
City Pasadena
State California (CA)
Post Code 911053150
Phone Number 6263975126
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No G13777
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about William Robert Dietrick

What is the unique provider identifier assigned to William Robert Dietrick?

The William Robert Dietrick has been issued the NPI (National Provider Identifier) 1881712248 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where William Robert Dietrick is geographically located?

The William Robert Dietrick is physically situated at the following location: 800 Fairmount Ave, Pasadena, CA, 911053150.

What is William Robert Dietrick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for William Robert Dietrick is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1881712248 to William Robert Dietrick?

The Centers for Medicare & Medicaid Services originally issued the 1881712248 to William Robert Dietrick on 2007-03-26.

When was the information related to William Robert Dietrick most recently updated or refreshed?

The details pertaining to the William Robert Dietrick, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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