Russell E. Ditzler in Columbia - Sleep Medicine

Russell E. Ditzler - NPI 1053378588

Russell E. Ditzler is a Sleep Medicine in Columbia, South Carolina. Russell E. Ditzler practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for Russell E. Ditzler is 1053378588. The last update date is 2020-10-27.

Russell E. Ditzler's current location address is 109 Barton Creek Court, Columbia, South Carolina. You can contact this provider via phone number 8032562286. The mailing address for Russell E. Ditzler is 109 Barton Creek Court, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Russell E. Ditzler
Address 109 Barton Creek Court, Columbia, South Carolina
Phone Number 8032562286
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053378588
Provider Enumeration Date 2006-04-27
Last Updated Date 2020-10-27

Provider Mailing Address Detail

Address 109 Barton Creek Court
City Columbia
State South Carolina (SC)
Post Code 29229
Phone Number 8032562286
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sleep Medicine
Taxonomy 207Qs1201X
Licence No 12852
Definition:
A Family Medicine Physician who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
128524 SC --
12852 SC DITZLER STATE LICENSE #

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FAQs about Russell E. Ditzler

What is the Russell E. Ditzler's unique identification number?

The Russell E. Ditzler has been assigned the NPI (National Provider Identifier) Number 1053378588 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Russell E. Ditzler is physically located?

The Russell E. Ditzler is physically situated at the following address: 109 Barton Creek Court, Columbia, SC, 29229.

What is Russell E. Ditzler's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Russell E. Ditzler is Sleep Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs1201X.

On what date was the 1053378588 assigned to Russell E. Ditzler?

The Russell E. Ditzler was issued its 1053378588 on 2006-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Russell E. Ditzler's information last updated?

The Russell E. Ditzler's information was last updated on 2020-10-27.

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