Amy Kmetz Ditzel is a Medical in Salem, Oregon. Amy Kmetz Ditzel practices all healthcare services and medical treatments related to Medical. The NPI Number for Amy Kmetz Ditzel is 1912120957. The last update date is 2017-02-09.
Amy Kmetz Ditzel's current location address is 875 Oak St Se, Salem, Oregon. You can contact this provider via phone number 5033997520 and fax number 5033627344. The mailing address for Amy Kmetz Ditzel is 875 Oak St Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Amy Kmetz Ditzel |
|---|---|
| Address | 875 Oak St Se, Salem, Oregon |
| Phone Number | 5033997520 |
| Fax Number | 5033627344 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1912120957 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2017-02-09 |
Provider Mailing Address Detail
| Address | 875 Oak St Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 97301 |
| Phone Number | 5033997520 |
| Fax Number | 5033627344 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA03007 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Amy Kmetz Ditzel by the Centers for Medicare & Medicaid Services?
The Amy Kmetz Ditzel has been issued the NPI (National Provider Identifier) 1912120957 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Amy Kmetz Ditzel's physical address?
The Amy Kmetz Ditzel is physically located at 875 Oak St Se, in the city of Salem, OR, with the postal code 97301.
What is Amy Kmetz Ditzel's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amy Kmetz Ditzel is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did the Amy Kmetz Ditzel receive the assignment of its 1912120957 from the Centers for Medicare & Medicaid Services?
The Amy Kmetz Ditzel was issued its 1912120957 by the Centers for Medicare & Medicaid Services on 2007-04-10.
When was the Amy Kmetz Ditzel's information last updated?
The Amy Kmetz Ditzel's information was last updated on 2017-02-09.