Dr TERRY J DIETRICH MD is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1971 from Loma Linda University School Of Medicine.
DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER
516 E NIZHONI BLVD
GALLUP
NM
873015748
Tel: 5057221000
| Npi | 1245274141 |
| Pac Id | 8527061746 |
| Professional Enrollment Id | I20181204001082 |
| Last Name | DIETRICH |
| First Name | TERRY |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialty 1 | |
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| Organization Legal Name | DHHS PHS NAIHS GALLUP INDIAN MEDICAL CENTER |
| Group Practice Pac Id | 3173436409 |
| Number Of Group Practice Members | 151 |
| Line 1 Street Address | 516 E NIZHONI BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | GALLUP |
| State | NM |
| Zip Code | 873015748 |
| Phone Number | 5057221000 |
| Hospital Affiliation Ccn 1 | 320061 |
| Hospital Affiliation Lbn 1 | GALLUP INDIAN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 320038 |
| Hospital Affiliation Lbn 2 | REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES |
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| Professional Accepts Medicare Assignment | Y |
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