Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK DIETZ, MD
ActiveDR. MARK DIETZ, MD is a Neurology healthcare provider located in FORT HARRISON, Montana. NPI 1740291293 is currently active in the NPPES registry. Verify at CMS.
Neurology · FORT HARRISON, MT
Registration Details
- NPI Number
- 1740291293
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (20.020939228462 yrs)
- Last Updated
- Jun 13, 2011
- License
-
8501 (MT)
Practice Information
- Address
-
3687 VETERANS DRFORT HARRISON VAMCFORT HARRISON, MT, 596369703Browse MT providers · Browse ZIP 59636
- Phone
- 4064477708
- Fax
- 4064477991
- Primary Specialty
-
Neurology
2084N0400X
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.