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1821010257
JEFFREY W DIETZ
GREENBRAE, CA
NPI
1821010257
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: CA G39610)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- JEFFREY W DIETZ M.D.
250 BON AIR RD
GREENBRAE, CA 94904-1702
Phone number: 415-925-7000
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Mailing Address
-- JEFFREY W DIETZ M.D.
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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