Individual
DR. JOHN W DITZLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 743-2174
(254) 743-2346
Mailing address
1901 VETERANS MEMORIAL DR, TEMPLE, TX 76504-7451
(254) 743-2174
(254) 743-2346
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E3175
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102601502
—
TX
Enumeration date
09/21/2005
Last updated
06/26/2012
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