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1457338741
JOHN C DEITRICK
RICHMOND, VA
NPI
1457338741
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: VA 0101037598)
Enumeration Date
2005-12-28
Last Update Date
2010-01-13
Business Address
-- JOHN C DEITRICK MD
1051 JOHNSTON WILLIS DR STE 200
RICHMOND, VA 23235
Phone number: 804-320-2705
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Mailing Address
-- JOHN C DEITRICK MD
1051 JOHNSTON WILLIS DR STE 200
RICHMOND, VA 23235
Phone number: 804-320-2705
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