Search › Arkansas › 207R00000X
Timothy Dietrich, D.O
NPI 1053654608 · on the registry since 2013
Practice
- Address
- 1705 Club Manor Drive,
Suite 2
Maumelle, AR 72113 - Phone
- (501) 851-7402
- Fax
- (501) 851-4753
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas