Jon Dietrich, M.D.
NPI #1689094732 in Jbsa Ft Sam Houston, Texas
Provider Information
- NPI Number
- 1689094732
- Entity Type
- Individual
- Name
- Jon Dietrich, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- M.D.
- Enumeration Date
- Apr 16, 2014
- Last Updated
- Apr 16, 2014
Practice Location
- Address
- 3551 ROGER BROOKE DR
- Address 2
- SAMMC, PEDIATRIC RESIDENCY PROGRAM
- State
- Texas
- ZIP Code
- 78234-4504
- Phone
- (210) 916-9332
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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