Dietz, Cory Lynn

Dietz, Cory Lynn is an individual health care provider with primary practice located at 700 W Us Highway 24 , Woodland Park CO 80863-8975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dietz, Cory Lynn can be contacted via phone (719) 522-1133.

Contact Information

Primary practice address
700 W Us Highway 24 Woodland Park CO 80863-8975
Phone: (719) 522-1133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 28289 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0053528 Colorado

Profile Details

NPI number 1508825753
LBN Legal business name Dietz, Cory Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Feb 19th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508825753 NPPES
Iowa MEDICAID 3064089
Iowa MEDICAID 28530250

Popular Providers