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1902893951
SUSAN K DIETZ
ANCHORAGE, AK
NPI
1902893951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AL 4272)
Enumeration Date
2005-10-04
Last Update Date
2007-07-08
Business Address
-- SUSAN K DIETZ MD
3200 PROVIDENCE DR
ANCHORAGE, AK 99508-4661
Phone number: 907-261-3111
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Mailing Address
-- SUSAN K DIETZ MD
3427 E TUDOR RD
ANCHORAGE, AK 99507-1282
Phone number: 907-565-8005
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