John E Dietrich, MD | |
1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 | |
(501) 661-0037 | |
(501) 661-0038 |
Full Name | John E Dietrich |
---|---|
Gender | Male |
Speciality | Internal Medicine - Infectious Disease |
Location | 1 Saint Vincent Cir, Little Rock, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417927807 | NPI | - | NPPES |
129921001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | E0736 (Arkansas) | Primary |
Entity Name | Infectious Disease Resource Group Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447280995 PECOS PAC ID: 9234036450 Enrollment ID: O20031216000701 |
Mailing Address | Practice Location Address |
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John E Dietrich, MD 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 Ph: (501) 661-0037 | John E Dietrich, MD 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 Ph: (501) 661-0037 |
Lonnie E Harrison, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-664-5860 Fax: 501-664-0889 | |
Muthu Veera Kumaran, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 556, Little Rock, AR 72205 Phone: 501-686-6033 Fax: 501-686-8932 | |
Tanvi Harishbhai Patel, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 508, Little Rock, AR 72205 Phone: 501-686-7105 Fax: 501-526-5906 | |
Gaurav Dhar, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 4301 W Markham St # 783, Little Rock, AR 72205 Phone: 501-686-8000 | |
Anthony R Giglia Iii, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 5800 W 10th St, Ste 610 Freeway Medical Center, Little Rock, AR 72204 Phone: 501-661-9393 Fax: 501-663-4795 | |
Brian Bean, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: #2 St Vincent Circle, Little Rock, AR 72205 Phone: 501-552-3592 Fax: 501-552-4129 | |
Joseph Wayne Forney Sr., M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 7 Shackleford West Blvd, Little Rock, AR 72211 Phone: 501-614-3606 Fax: 501-663-5017 |