Individual
MR. MARK R DITZENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
701 N. 7 HIGHWAY, SUITE B, BLUE SPRINGS, MO 64014-2436
(816) 224-6200
(816) 224-2788
Mailing address
701 N. 7 HIGHWAY, SUITE B, BLUE SPRINGS, MO 64014-2436
(816) 224-6200
(816) 224-2788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38010718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08220357
BCBS OF IL
IL
Enumeration date
06/29/2006
Last updated
12/10/2008
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