Organization
WHITEHALL MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELMER F DILTZ JR. DO (OWNER)
(614) 235-9944
Entity
Organization
Contact information
Practice address
4254 EAST MAIN STREET, COLUMBUS, OH 43213
(614) 235-9944
(614) 235-9344
Mailing address
4254 EAST MAIN STREET, COLUMBUS, OH 43213
(614) 235-9944
(614) 235-9344
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198647
—
OH
Enumeration date
02/09/2007
Last updated
12/06/2012
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