| Doctor Name: | MR. STEVE MATTHEW DITTO |
| NPI Number: | 1043604267 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 1045 W Main St Ste B Walnut Ridge, AR - 724761004 |
| Business Phone Number: | 8706791506 |
| Business Fax Number: | 8706791507 |
| Mailing Address: | 1045 W Main St Ste B, WALNUT RIDGE |
| State: | AR |
| Postal Code: | 724761004 |
| Phone Number: | 8706791506 |
| Fax Number: | 8706791507 |
| NPI Enumeration Date: | 03/25/2015 |
| NPI Last Update Date: | 03/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |