Search › Nevada › 225100000X
Justin Dietrich
NPI 1306669254 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1400 N Rampart Blvd
Las Vegas, NV 89128 - Phone
- (702) 683-8938
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-07
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 Nevada