MR. Zachary Eugene Deitrick

NPI #1083454649 in Miami, Oklahoma

Provider Information

NPI Number: 1083454649
Entity Type: Individual
Name: MR. Zachary Eugene Deitrick
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 30, 2024
Last Updated: May 30, 2024

Practice Location

Address: 319 A ST SW
City: Miami
State: Oklahoma
ZIP Code: 74354-7605
Phone: (918) 544-6424

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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