Individual
DORI DITTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
822 S 500 W, PORTLAND, IN 47371-8377
(260) 726-9027
Mailing address
822 S 500 W, PORTLAND, IN 47371-8377
(260) 726-9027
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01047080A
IN
Other
Enumeration date
05/12/2006
Last updated
07/09/2007
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