JOANIE MARIE DEATRICH DO
Individual Provider (NPI-1)
Active
Family Medicine, Adult Medicine
Provider Information
- NPI Number
1346336500- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 2360 E PERSHING BLVD, CHEYENNE, WY, 820015356
- Phone
- (307) 778-7555
Specialties & Taxonomies
Family Medicine, Adult Medicine
Primary License: CO #0055774