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
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 0055774 (CO) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
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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.