JAMIE DIETZE
Individual Provider (NPI-1)
Active
Ophthalmology
Provider Information
- NPI Number
1205395571- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3630 SW FAIRLAWN RD, TOPEKA, KS, 666143966
- Phone
- (785) 273-8080
- Fax
- (785) 273-2583
Specialties & Taxonomies
Ophthalmology
Primary License: KS #0449659
Ophthalmology, Glaucoma Specialist
License: KS #0449659