Individual provider · Type 1 NPI
Phillip Dietrich, DC
Chiropractor · South San Francisco, CA
NPI number
1255461695
Active
Practice location
363 El Camino Real, Suite 105
South San Francisco, CA 94080-5980
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 11891 (CA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1255461695
Phillip Dietrich, DC's National Provider Identifier is 1255461695, issued on Mar 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in South San Francisco, CA. The record was last updated on Jan 11, 2017.