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Contact Information

DAVID R DIETRICH, MD
120 N RICHARD JACKSON BLVD STE 140
PANAMA CITY, FL32407
 Phone: 850-532-6168
 Fax: 850-532-6568
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for DAVID R DIETRICH · (Male)

NPI Number 1871522250
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2006
Last updated 10/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME74604
Hospital affiliation(s)
  • BAY MEDICAL CENTER SACRED HEART HEALTH SYSTEM - (Acute Care)
    615 N BONITA AVE
    PANAMA CITY, FL 32401
  • GULF COAST MEDICAL CENTER - (Acute Care)
    449 W 23RD ST
    PANAMA CITY, FL 32405
  • NORTHWEST FLORIDA COMMUNITY HOSPITAL - (Critical Access)
    1360 BRICKYARD RD
    CHIPLEY, FL 32428
  • SACRED HEART HOSPITAL ON THE GULF - (Acute Care)
    3801 E HWY 98
    PORT SAINT JOE, FL 32456
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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