Individual provider · Type 1 NPI

Joanie Marie Deatrich, DO

Adult Medicine Physician · Cheyenne, WY

NPI number 1346336500 Active

Practice location

2360 E Pershing Blvd
Cheyenne, WY 82001-5356

Mailing address

2818 Cherrystone Pl
Fort Collins, CO 80525-6607

Other practice locations

  • 2818 Cherrystone Pl, Fort Collins, CO 80525-6607 · (970) 310-3159

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X0055774 (CO)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

360 other providers at this address

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About NPI 1346336500

Joanie Marie Deatrich, DO's National Provider Identifier is 1346336500, issued on Oct 5, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Cheyenne, WY. The record was last updated on Oct 1, 2020.