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DR. ROXANNE DIETZLER DO NPI 1407928872


NPI Information

NPI: 1407928872
Provider Name: DR. ROXANNE DIETZLER, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

CLIA Number: 49D1040164

Address:
732 THIMBLE SHOALS BLVD
STE 102
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 599-3623
Get Directions

DR. Roxanne Dietzler, DO is a family medicine in Newport News, VA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Roxanne Dietzler, DO NPI is 1407928872. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

732 THIMBLE SHOALS BLVD
STE 102
NEWPORT NEWS, VA
ZIP 23606
Phone: (757) 599-3623
Fax: (757) 599-1819

The CLIA number assigned to this NPI record is 49D1040164 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine0102049994VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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