Individual
DR. DIANE CAMPBELL RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(210) 859-0007
Mailing address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(210) 859-0007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14967
AL
2083A0100X
Aerospace Medicine Physician
14967
AL
2083A0100X
Aerospace Medicine Physician
Primary
MD.14967
AL
2083P0901X
Public Health & General Preventive Medicine Physician
14967
AL
Other
Enumeration date
09/29/2006
Last updated
12/12/2018
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