| Mr Christopher David Dietrich, PA-C | |
|
200 2nd Ave S # 489, St Petersburg, FL 33701-4313 | |
| (907) 696-7466 | |
| Not Available |
| Full Name | Mr Christopher David Dietrich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 200 2nd Ave S # 489, St Petersburg, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962890939 | NPI | - | NPPES |
| 1626073 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 2393 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christopher David Dietrich, PA-C 16600 Centerfield Dr Ste 205, Eagle River, AK 99577-7702 Ph: (907) 696-7466 | Mr Christopher David Dietrich, PA-C 200 2nd Ave S # 489, St Petersburg, FL 33701-4313 Ph: (907) 696-7466 |
Mr. Imtiaz Haroon Memon, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6000 49th St N, St. Petersburg, St Petersburg, FL 33709 Phone: 727-521-5510 | |
Kristin Marie Paul Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 5939 27th Ter N, St Petersburg, FL 33710 Phone: 651-895-6930 | |
Gulnar Samreen Memon, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 6000 49th St N, St Petersburg, FL 33709 Phone: 727-521-5510 | |
Daniela Quintana, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 620 10th St N, St Petersburg, FL 33705 Phone: 727-824-8243 Fax: 727-824-8233 | |
Whitney L. Clowney, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 601 7th St S, St Petersburg, FL 33701 Phone: 727-824-7132 Fax: 727-824-7133 | |
Heather Shimoji Barkov, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4226 Central Ave, St Petersburg, FL 33711 Phone: 727-321-3915 | |
Melissa M. Bunce, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 3404 26th Ave S, St Petersburg, FL 33711 Phone: 727-318-6880 Fax: 727-321-0890 |