Jon F Dietlein MD PA

NPI #1285797621 in Georgetown, Texas

Provider Information

NPI Number: 1285797621
Entity Type: Organization
Organization Name: Jon F Dietlein MD PA
Primary Specialty: Ophthalmology
Enumeration Date: Dec 18, 2006
Last Updated: Apr 17, 2009

Practice Location

Address: 311 RIVER BEND DR
City: Georgetown
State: Texas
ZIP Code: 78628-2782
Phone: (512) 931-2255

Authorized Official

Name: DR. JON F DIETLEIN, M.D.
Title: PRESIDENT
Phone: (512) 931-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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