Amy L Dietrich in Dakota Dunes - Physician Assistant
Amy L Dietrich - NPI 1053387522
Amy L Dietrich is a Physician Assistant in Dakota Dunes, South Dakota. Amy L Dietrich practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Amy L Dietrich is 1053387522. The last update date is 2010-05-26.
Amy L Dietrich's current location address is 705 Sioux Point Rd, Dakota Dunes, South Dakota. You can contact this provider via phone number 6052175500 and fax number 6052175515. The mailing address for Amy L Dietrich is 705 Sioux Point Rd, Dakota Dunes, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy L Dietrich |
|---|---|
| Address | 705 Sioux Point Rd, Dakota Dunes, South Dakota |
| Phone Number | 6052175500 |
| Fax Number | 6052175515 |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1053387522 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2010-05-26 |
Provider Mailing Address Detail
| Address | 705 Sioux Point Rd |
|---|---|
| City | Dakota Dunes |
| State | South Dakota (SD) |
| Post Code | 57049 |
| Phone Number | 6052175500 |
| Fax Number | 6052175515 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 598 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Amy L Dietrich by the Centers for Medicare & Medicaid Services?
The Amy L Dietrich has been issued the NPI (National Provider Identifier) 1053387522. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Amy L Dietrich is geographically located?
The Amy L Dietrich is physically situated at the following location: 705 Sioux Point Rd, Dakota Dunes, SD, 57049.
What is the Amy L Dietrich's specialty and taxonomy code?
The Amy L Dietrich's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053387522 to Amy L Dietrich?
The Centers for Medicare & Medicaid Services assigned the 1053387522 to Amy L Dietrich on 2006-02-24.
As of what date were the details related to Amy L Dietrich most recently updated or revised?
The information pertaining to Amy L Dietrich, including its address, specialty, and other relevant details, was last updated or revised on 2010-05-26.