Individual
MR. MATTHEW DITTRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
6685 ENCHANTED VALLEY DR, RENO, NV 89523-1758
(775) 225-5618
(775) 787-8179
Mailing address
6685 ENCHANTED VALLEY DR, RENO, NV 89523-1758
(775) 225-5618
(775) 787-8179
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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