Individual provider · Type 1 NPI

John C. Deitrick, MD

Vascular Surgery Physician · Richmond, VA

NPI number 1457338741 Active

Practice location

1051 Johnston Willis Dr, Ste 200
Richmond, VA 23235

Fax (804) 330-2433

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X0101037598 (VA)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1457338741

John C. Deitrick, MD's National Provider Identifier is 1457338741, issued on Dec 28, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Richmond, VA. The record was last updated on Jan 13, 2010.