Individual
MATTHEW GERALD DITZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7549
Mailing address
2222 WELBORN ST, DALLAS, TX 75219-3924
(214) 559-7549
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
R3662
TX
2085R0202X
Diagnostic Radiology Physician
R3662
TX
Other
Enumeration date
08/10/2012
Last updated
02/13/2024
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