John C Deitrick in Richmond - Vascular Surgery
John C Deitrick - NPI 1457338741
John C Deitrick is a Vascular Surgery in Richmond, Virginia. John C Deitrick practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for John C Deitrick is 1457338741. The last update date is 2010-01-13.
John C Deitrick's current location address is 1051 Johnston Willis Dr, Richmond, Virginia. You can contact this provider via phone number 8043202705 and fax number 8043302433. The mailing address for John C Deitrick is 1051 Johnston Willis Dr, Richmond, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John C Deitrick |
|---|---|
| Address | 1051 Johnston Willis Dr, Richmond, Virginia |
| Phone Number | 8043202705 |
| Fax Number | 8043302433 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457338741 |
|---|---|
| Provider Enumeration Date | 2005-12-28 |
| Last Updated Date | 2010-01-13 |
Provider Mailing Address Detail
| Address | 1051 Johnston Willis Dr |
|---|---|
| City | Richmond |
| State | Virginia (VA) |
| Post Code | 23235 |
| Phone Number | 8043202705 |
| Fax Number | 8043302433 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 101037598 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1457338741 | VA | -- | |
| 7354380 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John C Deitrick by the Centers for Medicare & Medicaid Services?
The John C Deitrick has been assigned the NPI (National Provider Identifier) 1457338741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where John C Deitrick is geographically located?
The John C Deitrick is physically situated at the following location: 1051 Johnston Willis Dr, Richmond, VA, 23235.
What is the John C Deitrick's specialty and taxonomy code?
The John C Deitrick's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1457338741 to John C Deitrick?
The Centers for Medicare & Medicaid Services originally issued the 1457338741 to John C Deitrick on 2005-12-28.
As of what date were the details pertaining to John C Deitrick last refreshed?
The information related to the John C Deitrick, including its address, specialty, and other relevant details, was last updated on 2010-01-13.
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