Individual
ELMER F DILTZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4254 E MAIN ST, COLUMBUS, OH 43213
(614) 235-9944
(614) 235-9344
Mailing address
4254 E MAIN ST, COLUMBUS, OH 43213
(614) 235-9944
(614) 235-9344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34003331
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0538574
—
OH
Enumeration date
05/15/2006
Last updated
08/24/2012
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