| John James Ditmars, Jr. Dpm Pc | |
|
47 N Kimbell Rd, Yukon, OK 73099-2251 | |
| (405) 354-5191 | |
| (405) 262-1088 |
| Full Name | John James Ditmars, Jr. Dpm Pc |
|---|---|
| Type | Facility |
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 47 N Kimbell Rd, Yukon, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669642351 | NPI | - | NPPES |
| 200275890 A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 142 (Oklahoma) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 142 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John James Ditmars, Jr. Dpm Pc Po Box 717, El Reno, OK 73036-0717 Ph: (405) 354-5191 | John James Ditmars, Jr. Dpm Pc 47 N Kimbell Rd, Yukon, OK 73099-2251 Ph: (405) 354-5191 |
News Archive
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