person
John C Deitrick, MD
Vascular Surgery Physician in Richmond, Virginia
NPI 1457338741

John C Deitrick is a Vascular Surgery Physician based in Richmond, VA and is specialized in Vascular Surgery. John C Deitrick practices in Richmond, VA and has the professional credentials of MD. The NPI Number for John C Deitrick is 1457338741 and holds a License No. 0101037598 (Virginia).

The current practice location address for John C Deitrick is 1051 Johnston Willis Dr, Richmond, VA and can be reached out via phone at 804-320-2705 and via fax at 804-330-2433.

Location: 1051 Johnston Willis Dr, Richmond, VA, 23235
person
Provider Profile Details
NPI Number
1457338741
Provider Name
John C Deitrick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1051 Johnston Willis Dr, Richmond, VA, 23235
Phone Number
804-320-2705
Fax Number
804-330-2433
Provider Enumeration Date
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457338741 05 VA
7354380 05 VA
institution
Provider Business Practice Location Address Details
Address
1051 Johnston Willis Dr
City
State
Zip
23235
Phone Number
804-320-2705
Fax Number
804-330-2433
person
Provider Business Mailing Address Details
Address
1051 Johnston Willis Dr
City
State
Zip
23235
Phone Number
804-320-2705
Fax Number
804-330-2433
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
0101037598 (Virginia)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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