Basic Information
| Provider Information | |||||||||
| NPI: | 1225021553 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DEITZ | ||||||||
| FirstName: | DAVID | ||||||||
| MiddleName: | R. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 HOT METAL ST. | ||||||||
| Address2: | QUANTUM ONE, 2ND FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124327400 | ||||||||
| FaxNumber: | 4124327480 | ||||||||
| Practice Location | |||||||||
| Address1: | 2 HOT METAL ST. | ||||||||
| Address2: | QUANTUM ONE, 2ND FLOOR | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 15203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4124327400 | ||||||||
| FaxNumber: | 4124327480 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/23/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | OS006955L | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.