Marvin Leroy Dietrich in Sun City - Gynecology
Marvin Leroy Dietrich - NPI 1619925401
Marvin Leroy Dietrich is a Gynecology in Sun City, Arizona. Marvin Leroy Dietrich practices all healthcare services and medical treatments related to Gynecology. The NPI Number for Marvin Leroy Dietrich is 1619925401. The last update date is 2023-03-07.
Marvin Leroy Dietrich's current location address is 10503 W Thunderbird Blvd, Sun City, Arizona. You can contact this provider via phone number 6239743647 and fax number 6239770310. The mailing address for Marvin Leroy Dietrich is 10503 W Thunderbird Blvd, Sun City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin Leroy Dietrich |
|---|---|
| Address | 10503 W Thunderbird Blvd, Sun City, Arizona |
| Phone Number | 6239743647 |
| Fax Number | 6239770310 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619925401 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 10503 W Thunderbird Blvd |
|---|---|
| City | Sun City |
| State | Arizona (AZ) |
| Post Code | 853513022 |
| Phone Number | 6239743647 |
| Fax Number | 6239770310 |
Provider's Primary Taxonomy Detail
| Speciality | Gynecology |
|---|---|
| Taxonomy | 207Vg0400X |
| Licence No | 27044 |
|
Definition: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11172652 | AZ | CAQH UNIVERSAL PROVIDER # | |
| 11541 | NE | STATE LICENSE | |
| 6248578-004 | AZ | CIGNA | |
| 27044 | AZ | STATE LICENSE | |
| AZ0885510 | AZ | AZ BC/BS |
Post Comment/ Review Below
What is the unique identifier code issued to Marvin Leroy Dietrich by the Centers for Medicare & Medicaid Services?
The Marvin Leroy Dietrich has been assigned the NPI (National Provider Identifier) 1619925401. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marvin Leroy Dietrich is physically located?
The Marvin Leroy Dietrich is situated at the following address: 10503 W Thunderbird Blvd, Sun City, AZ 853513022.
What is the area of specialization for Marvin Leroy Dietrich, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Marvin Leroy Dietrich is Gynecology, and the corresponding taxonomy code that categorizes this area of expertise is 207Vg0400X.
When did the Marvin Leroy Dietrich receive its 1619925401?
The Marvin Leroy Dietrich was issued its 1619925401 on 2006-05-04, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Marvin Leroy Dietrich most recently updated or revised?
The details related to Marvin Leroy Dietrich, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-07.