Individual
DR. CARL M DITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2316 E. MAIN ST., NEW IBERIA, LA 70560
(337) 364-1103
(337) 364-1194
Mailing address
2316 E. MAIN ST., NEW IBERIA, LA 70560
(337) 364-1103
(337) 364-1194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
013926
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199150
—
LA
Enumeration date
10/23/2006
Last updated
07/15/2009
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