Whalio Doctors

NPI 1669642351

John James Ditmars, Jr. DPM PC

Organisation Durable Medical Equipment & Medical Supplies Yukon, OK

Practice location

Address
47 N Kimbell Rd, Yukon, OK 73099-2251
Phone
(405) 354-5191
Fax
(405) 262-1088
Mailing address
PO Box 717, El Reno, OK 73036-0717

Authorised official

Name
John James Ditmars
Title
President
Phone
(405) 262-6613

Registered specialties (2)

Durable Medical Equipment & Medical Supplies Primary
Suppliers Taxonomy 332B00000X Licence 142 (OK)
Primary Podiatric Medicine Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence 142 (OK)

Registry record

NPI
1669642351
Entity type
Organization
NPI issued
10 Mar 2008
Record last updated
4 Mar 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.