Stephanie S Dittmer in Fortuna - Family Medicine

Stephanie S Dittmer - NPI 1942422688

Stephanie S Dittmer is a Family Medicine in Fortuna, California. Stephanie S Dittmer practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stephanie S Dittmer is 1942422688. The last update date is 2023-10-20.

Stephanie S Dittmer's current location address is 3429 Renner Dr, Fortuna, California. You can contact this provider via phone number 7077262255 and fax number 7079499715. The mailing address for Stephanie S Dittmer is 3429 Renner Dr, Fortuna, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephanie S Dittmer
Address 3429 Renner Dr, Fortuna, California
Phone Number 7077262255
Fax Number 7079499715
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1942422688
Provider Enumeration Date 2007-05-03
Last Updated Date 2023-10-20

Provider Mailing Address Detail

Address 3429 Renner Dr
City Fortuna
State California (CA)
Post Code 955403104
Phone Number 7077262255
Fax Number 7079499715

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No A117789
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
192422688 CA NATIONAL PROVIDER IDENIFICATIO

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FAQs about Stephanie S Dittmer

What is the unique 10-digit identification code assigned to Stephanie S Dittmer by the Centers for Medicare & Medicaid Services?

The Stephanie S Dittmer has been issued the NPI (National Provider Identifier) 1942422688, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Stephanie S Dittmer's facilities are geographically located?

The facilities of Stephanie S Dittmer are physically situated at the following location: 3429 Renner Dr, Fortuna, CA, 955403104.

What is Stephanie S Dittmer's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stephanie S Dittmer's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1942422688 to Stephanie S Dittmer?

The Centers for Medicare & Medicaid Services originally issued the 1942422688 to Stephanie S Dittmer on 2007-05-03.

When was the information regarding Stephanie S Dittmer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stephanie S Dittmer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-10-20.

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