Dr. William Ira Dittman, M.D.
Radiology, Vascular & Interventional Radiology in Fort Worth, TX. Individual provider (NPI-1).
NPI number1982684635
StatusActive
Last updated in NPPESNov 6, 2018
Details
- NPI
- 1982684635
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Ira Dittman
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2006
- Last updated
- Nov 6, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | D9421 | TX | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | D9421 | TX |
Practice location
815 Pennsylvania AveFort Worth, TX 76104-2224
Phone 817-321-0404
Mailing address
816 W Cannon StFort Worth, TX 76104-3146
Phone 817-321-0404
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