Individual provider · Type 1 NPI
Henry T. Dietrich Iii, MD
Addiction Medicine (Family Medicine) Physician · Williamsport, PA
NPI number
1922074046
Active
Practice location
425 Market St
Williamsport, PA 17701-6345
Fax (570) 368-4476
Mailing address
100 N Academy Ave, Credentials Dept
Danville, PA 17822-4903
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | MD045437E (PA) |
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | MD045437E (PA) |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
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About NPI 1922074046
Henry T. Dietrich Iii, MD's National Provider Identifier is 1922074046, issued on Feb 28, 2006. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Williamsport, PA. The record was last updated on Aug 24, 2020.