Individual
DR. DOUGLAS W DITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9000 N MAIN ST, ENGLEWOOD, OH 45415-1180
(937) 293-1622
(937) 245-6308
Mailing address
6680 POE AVE, SUITE 200, DAYTON, OH 45414-2854
(937) 280-8400
(937) 280-8373
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
34.003583
OH
2085R0001X
Radiation Oncology Physician
34003583D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2138985
—
OH
Enumeration date
03/27/2006
Last updated
01/05/2022
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