Individual provider · Type 1 NPI
Jack Kenneth Deitchman, MD
Preventive Medicine/Occupational Environmental Medicine Physician · Grass Valley, CA
Practice location
140 Litton Drive, Suite 110
Grass Valley, CA 95945
Fax (530) 271-2067
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician Primary | 2083P0500X | G26297 (CA) |
Preventive Medicine/Occupational Environmental Medicine Physician: A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.
About NPI 1346254141
Jack Kenneth Deitchman, MD's National Provider Identifier is 1346254141, issued on Jul 28, 2006. The primary taxonomy on file is Preventive Medicine/Occupational Environmental Medicine Physician (2083P0500X), and the practice location is in Grass Valley, CA. The record was last updated on Mar 5, 2009.