| Dr Marvin Leroy Dietrich, MD | |
|
10503 W Thunderbird Blvd, #301, Sun City, AZ 85351-3022 | |
| (623) 974-3647 | |
| (623) 977-0310 |
| Full Name | Dr Marvin Leroy Dietrich |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 10503 W Thunderbird Blvd, Sun City, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619925401 | NPI | - | NPPES |
| 11172652 | Other | AZ | CAQH UNIVERSAL PROVIDER # |
| 11541 | Other | NE | STATE LICENSE |
| 6248578-004 | Other | AZ | CIGNA |
| 27044 | Other | AZ | STATE LICENSE |
| AZ0885510 | Other | AZ | AZ BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 27044 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marvin Leroy Dietrich, MD 18922 E Tonto Verde Dr, Rio Verde, AZ 85263-5200 Ph: (480) 471-3426 | Dr Marvin Leroy Dietrich, MD 10503 W Thunderbird Blvd, #301, Sun City, AZ 85351-3022 Ph: (623) 974-3647 |
Dr. Marianne Teresa Mason, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9551 W Country Club Dr, Sun City, AZ 85373 Phone: 605-371-6244 |