Individual
DR. MARY O'KIEF DITTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3525 E LOUISE DR, STE 100, MERIDIAN, ID 83642-6302
(208) 846-8335
Mailing address
2702 HOLDEN LN, BOISE, ID 83706-5060
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
M7706
ID
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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