Individual
DR. SUSAN JANE DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 S 1ST ST, CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM, TEMPLE, TX 76504-7451
(254) 743-2890
(254) 743-9976
Mailing address
1403 S COLLEGE ST, GEORGETOWN, TX 78626-7021
(512) 818-3002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
F9369
TX
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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