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Dr. Gregory Dean Dietrich, MD
Orthopedic Surgery of the Spine Physician in Lewiston, Idaho
NPI 1306831698

Gregory Dean Dietrich is a Orthopedic Surgery of the Spine Physician based in Lewiston, ID and is specialized in Orthopedic Surgery of the Spine. Gregory Dean Dietrich practices in Lewiston, ID and has the professional credentials of MD. The NPI Number for Gregory Dean Dietrich is 1306831698 and holds a License No. 00034506 (Idaho).

The current practice location address for Gregory Dean Dietrich is 320 Warner Drive, Lewiston, ID and can be reached out via phone at 208-743-3523 and via fax at 208-746-8741.

Location: 320 Warner Drive, Lewiston, ID, 83501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306831698
Provider Name
Gregory Dean Dietrich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
320 Warner Drive, Lewiston, ID, 83501
Phone Number
208-743-3523
Fax Number
208-746-8741
Provider Enumeration Date
09/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
74823 01 ID BCI
805208800 05 ID
000010004322 01 ID REGENCE
8204851 05 WA
institution
Provider Business Practice Location Address Details
Address
320 Warner Drive
City
Lewiston
State
Idaho
Zip
83501
Phone Number
208-743-3523
Fax Number
208-746-8741
person
Provider Business Mailing Address Details
Address
320 Warner Drive
City
Lewiston
State
Idaho
Zip
83501
Phone Number
208-743-3523
Fax Number
208-746-8741
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Orthopedic Surgery of the Spine
Taxonomy
207XS0117X
License No.
00034506 (Washington)
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopedic surgery, orthopedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
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