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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY JOHN DIETRICH, D.O

Active

DR. TIMOTHY JOHN DIETRICH, D.O is a Internal Medicine healthcare provider located in MAUMELLE, Arkansas. NPI 1053654608 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MAUMELLE, AR

Registration Details

NPI Number
1053654608
Provider Type
Individual
Gender
Male
NPI Issued
Apr 2, 2013 (13.22227684368 yrs)
Last Updated
Sep 2, 2016
License
E-3259 (AR)

Practice Information

Address
1705 CLUB MANOR DRIVE,
SUITE 2
MAUMELLE, AR, 721137401
Browse AR providers · Browse ZIP 72113
Phone
5018517402
Fax
5018514753
Primary Specialty
Internal Medicine
207R00000X

Other Internal Medicine Providers in MAUMELLE, AR

Name Credential NPI
JAMES SMITH MD 1053377226
SUMAN SIDDAMREDDY MD 1205023207
DR. TERENCE BENJAMIN WILSON M.D. 1184954851
SULTAN SINGH CHHINA M.D 1629450127
ANNA SZWEDO M.D. 1477938009
LOVEPREET SINGH M.D. 1578096905
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.