Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jon Dietrich, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1689094732

Jon Dietrich, MD is a Student in an Organized Health Care Education/Training Program in Jbsa Ft Sam Houston, Texas. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3551 Roger Brooke Dr Sammc Pediatric Residency Program
Jbsa Ft Sam Houston, TX 78234-4504
Phone: (210) 916-9332
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1689094732
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2014
Last updated in NPPESApril 16, 2014
Mailing address3551 Roger Brooke Dr, Sammc, Pediatric Residency Program, Jbsa Ft Sam Houston, TX 78234-4504

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