KEITH D DIETEL

INDIANAPOLIS, IN
NPI1598282352
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10002276A)
Enumeration Date2017-08-23
Last Update Date2021-01-14
Business Address
KEITH D DIETEL PA-C
1701 N SENATE BLVD
INDIANAPOLIS, IN 46202-1239
Phone number: 317-962-2000
Mailing Address
KEITH D DIETEL PA-C
450 E WALNUT ST APT 202
INDIANAPOLIS, IN 46202-3333
Phone number: 317-697-2815
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