NPI 1003814013 KAREN ANNE DITTRICH MD MURRAY UT. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Karen Anne Dittrich - NPI: 1003814013

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: KAREN ANNE DITTRICH
NPI Number: 1003814013
Entity Type Code: Individual (1)
Gender: F
Credentials: MD
License Number: M-11469
Business Practice Address: 5444 S. Green St.
Murray, UT - 841235632
Business Phone Number: 8012628120
Business Fax Number: 8012623897
Mailing Address: 5444 S. Green St.,
MURRAY
State: UT
Postal Code: 841235632
Phone Number: 8012628120
Fax Number: 8012623897
NPI Enumeration Date: 07/13/2005
NPI Last Update Date: 08/30/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2085R0202X
License Number: M-11469
Healthcare Provider Taxonomy:
(Secondary)
N
State: ID
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Radiology
Taxonomy Specialization: Diagnostic Radiology
Taxonomy Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


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