MATTHEW DIETZ

CHARLESTON, WV
NPI1972291979
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-27
Last Update Date2023-04-27
Business Address
MATTHEW DIETZ DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1297
Phone number: 304-388-5590
Mailing Address
MATTHEW DIETZ DO
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1297
Phone number: