Organization
JACK F. DITTY, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DITTY MD (MD)
(606) 836-3111
Entity
Organization
Contact information
Practice address
100 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7016
(606) 836-3111
Mailing address
100 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7016
(606) 836-3111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/23/2012
Last updated
07/24/2012
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