DR. Gary Lee Dietterick, OD

NPI #1407836851 in Easton, Pennsylvania

Provider Information

NPI Number: 1407836851
Entity Type: Individual
Name: DR. Gary Lee Dietterick, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jan 20, 2006
Last Updated: Sep 23, 2008

Practice Location

Address: 21 CORPORATE DR
Address 2: STE.#2
City: Easton
State: Pennsylvania
ZIP Code: 18045-2664
Phone: (610) 258-2442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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