NPI 1740291293 · live from the CMS NPI Registry
Mark Dietz, MD
Psychiatry & Neurology, Neurology in Fort Harrison, MT. National Provider Identifier 1740291293, active.
NPI record
| NPI | 1740291293 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 3687 Veterans Dr, Fort Harrison Vamc, Fort Harrison, MT 59636 |
| Practice phone | 406-447-7708 |
| Enumerated | August 10, 2006 |
| Last updated | June 13, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 8501 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.