JON FREDRICK DIETLEIN

GEORGETOWN, TX
NPI1811901887
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207W00000X Ophthalmology
(Licence: TX  H0298)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- JON FREDRICK DIETLEIN M.D.
311 RIVER BEND DR
GEORGETOWN, TX 78628-2782
Phone number: 512-931-2255
Mailing Address
-- JON FREDRICK DIETLEIN M.D.
311 RIVER BEND DR
GEORGETOWN, TX 78628-2782
Phone number: 512-931-2255