Organization
JOHN DITRAGLIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRANCIS DITRAGLIA MD (OWNER)
(740) 354-6605
Entity
Organization
Contact information
Practice address
717 5TH ST, PORTSMOUTH, OH 45662-4007
(740) 354-6605
(740) 354-1565
Mailing address
717 5TH ST, PORTSMOUTH, OH 45662-4007
(740) 354-6605
(740) 354-1565
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
35047660
OH
261QR1300X
Rural Health Clinic/Center
35047660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64781438
—
KY
Enumeration date
05/10/2007
Last updated
03/18/2019
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