DR. JACK KENNETH DEITCHMAN MD NPI 1346254141

NPI Information

DR. Jack Kenneth Deitchman, MD is a preventive medicine/occupational environmental medicine preventive medicine in Grass Valley, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. DR. Jack Kenneth Deitchman, MD NPI is 1346254141. 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:

140 LITTON DRIVE
SUITE 110
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 274-8483
Fax: (530) 271-2067

The enumeration date for this NPI number is 7/28/2006 and was last updated on 3/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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