Individual
DR. GEORGE WILLIAM DITTRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8111 DODGE ST, STE. 263, OMAHA, NE 68114-4129
(402) 354-8163
(402) 354-2416
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
ME103180
FL
2086X0206X
Surgical Oncology Physician
Primary
25264
NE
2086X0206X
Surgical Oncology Physician
ME103180
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025868900
—
NE
05
—
1669530630
—
IA
05
—
47068731707
—
NE
Enumeration date
12/04/2006
Last updated
05/05/2016
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