Dr. Gregory Dean Dietrich
Orthopaedic Spine Surgeon
320 Warner Drive
Lewiston
, Idaho 83501
Dr. Gregory Dean Dietrich
Orthopaedic Spine Surgeon
320 Warner Drive
Lewiston
, Idaho 83501
(208) 746-8741
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Gregory Dean Dietrich
- 320 Warner Drive
- Lewiston, ID
- Zip : 83501
- Fax : (208) 746-8741
- Phone : (208) 743-3523
Second Address
- Dr. Gregory Dean Dietrich
- 320 Warner Drive
- Lewiston, ID
- Zip : 83501
- Fax : (208) 746-8741
- Phone : (208) 743-3523
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207XS0117X | Orthopaedic Spine Surgeon | 00034506 | WA |
| Y | 207XS0117X | Orthopaedic Spine Surgeon | M7482 | ID |
National Provider Identifier
| NPI | 1306831698 |
|---|---|
| Provider Name | Dr. Gregory Dean Dietrich |
| First Address | Lewiston, ID 83501 |
| Second Address | Lewiston, ID 83501 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 24/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000010004322 | REGENCE (01) | ID |
| 74823 | BCI (01) | ID |
| 805208800 | (05) | ID |
| 8204851 | (05) | WA |
| G42122 | (02) | ID |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.