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

JON DIETRICH, M.D.

Active Sole Proprietor

JON DIETRICH, M.D. is a Student (Health Education/Training) healthcare provider located in JBSA FT SAM HOUSTON, Texas. NPI 1689094732 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · JBSA FT SAM HOUSTON, TX

Registration Details

NPI Number
1689094732
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2014 (12.303655512299 yrs)
Last Updated
Apr 16, 2014
Sole Proprietor
Yes

Practice Information

Address
3551 ROGER BROOKE DR
SAMMC, PEDIATRIC RESIDENCY PROGRAM
JBSA FT SAM HOUSTON, TX, 782344504
Browse TX providers · Browse ZIP 78234
Phone
2109169332
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in JBSA FT SAM HOUSTON, TX

Name Credential NPI
MELISSA YOUNG 1881078038
BRADY ALEXANDER ZUNKER OTS 1013452366
DR. KATHLEEN MARIE BAIN PHD 1457860405
BONAVIAN HAN LEE 1720567142
SARAH RUPERT 1427524768
ALEXANDER CRAWFORD MILLS DO 1629534805
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.