TAMARA RYAN DIETZE

OMAHA, NE
NPI1407383920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NE  2129)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2017-05-15
Last Update Date2017-07-14
Business Address
MRS. TAMARA RYAN DIETZE PA
EMILE AT 42ND ST
OMAHA, NE 68198-3771
Phone number: 402-552-6732
Mailing Address
MRS. TAMARA RYAN DIETZE PA
988102 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-8102
Phone number: