Jon F Dietlein, M.d., P.a.
NPI #1295860930 in Georgetown, Texas
Provider Information
- NPI Number
- 1295860930
- Entity Type
- Organization
- Organization Name
- Jon F Dietlein, M.d., P.a.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Feb 22, 2007
- Last Updated
- Jun 12, 2008
Practice Location
- Address
- 311 RIVER BEND DR
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-2782
- Phone
- (512) 931-2255
Authorized Official
- Name
- MR. JON F DIETLEIN, M.D.
- Title
- PRESIDENT
- Phone
- (512) 931-2255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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