person
Dr. Marvin Leroy Dietrich, MD
Gynecology Physician in Sun City, Arizona
NPI 1619925401

Marvin Leroy Dietrich is a Gynecology Physician based in Rio Verde, AZ and is specialized in Gynecology. Marvin Leroy Dietrich practices in Sun City, AZ and has the professional credentials of MD. The NPI Number for Marvin Leroy Dietrich is 1619925401 and holds a License No. 27044 (Arizona).

The current practice location address for Marvin Leroy Dietrich is 10503 W Thunderbird Blvd, Sun City, AZ and can be reached out via phone at 623-974-3647 and via fax at 623-977-0310.

Location: 10503 W Thunderbird Blvd, Sun City, AZ, 85263-5200
person
Provider Profile Details
NPI Number
1619925401
Provider Name
Marvin Leroy Dietrich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10503 W Thunderbird Blvd, Sun City, AZ, 85263-5200
Phone Number
623-974-3647
Fax Number
623-977-0310
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11172652 01 AZ CAQH UNIVERSAL PROVIDER #
11541 01 NE STATE LICENSE
6248578-004 01 AZ CIGNA
27044 01 AZ STATE LICENSE
AZ0885510 01 AZ AZ BC/BS
institution
Provider Business Practice Location Address Details
Address
10503 W Thunderbird Blvd
City
State
Zip
85351-3022
Phone Number
623-974-3647
Fax Number
623-977-0310
person
Provider Business Mailing Address Details
Address
10503 W Thunderbird Blvd
City
State
Zip
85351-3022
Phone Number
623-974-3647
Fax Number
623-977-0310
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
27044 (Arizona)
Definition
Definition to come...
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