Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 2012-00453 | NC |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD048243 | DC |
NPI | 1346408994 |
---|---|
Provider Name | Dr. Alexis Anne Dieter |
First Address | Washington, DC 20010-2989 |
Second Address | Washington, DC 20010-2989 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 19/10/2020 |