Individual
JOHN L DITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 CHARLES H DIMMOCK PKWY STE 6, COLONIAL HEIGHTS, VA 23834-2915
(804) 765-5320
(804) 765-5325
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(804) 765-5320
(804) 765-5325
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101057283
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083732325
—
VA
Enumeration date
03/26/2007
Last updated
02/05/2020
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