DR. TIMOTHY DIETRICH, D.O

Internal Medicine

Active Individual
NPI: 1053654608

Practice Address

1705 CLUB MANOR DRIVE,
SUITE 2
Maumelle, AR 72113

Phone: (501) 851-7402

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes E-3259 (AR)
Student in an Organized Health Care Education/Training Program 390200000X No -

Frequently Asked Questions

NPI 1053654608 is the National Provider Identifier for DR. TIMOTHY DIETRICH, D.O, a Internal Medicine provider located in Maumelle, AR. This NPI was enumerated on April 2, 2013.
DR. TIMOTHY DIETRICH, D.O practices at 1705 CLUB MANOR DRIVE,, SUITE 2, Maumelle, AR 72113.

Quick Facts

NPI
1053654608
Type
Individual
Enumerated
Apr 2, 2013
Last Updated
Sep 2, 2016

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