Jon Dietrich, M.D. is a student in an organized health care education training program in Jbsa Ft Sam Houston, TX. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jon Dietrich, M.D. NPI is 1689094732. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
3551 ROGER BROOKE DR
SAMMC, PEDIATRIC RESIDENCY PROGRAM
JBSA FT SAM HOUSTON, TX
ZIP 78234-504
Phone: (210) 916-9332
The enumeration date for this NPI number is 4/16/2014 and was last updated on 4/16/2014.