| Martin Dittler, CRNA | |
|
1613 Oakwood St, Bedford, VA 24523-1213 | |
| (540) 586-2441 | |
| Not Available |
| Full Name | Martin Dittler |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1613 Oakwood St, Bedford, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861504508 | NPI | - | NPPES |
| 8955140 | Medicaid | VA | |
| 8955158 | Medicaid | VA | |
| 8955115 | Medicaid | VA | |
| 8955107 | Medicaid | VA | |
| 8955123 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001082217 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0024082217 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Dittler, CRNA 124 Wedgewood Dr, Rocky Mount, VA 24151-4888 Ph: () - | Martin Dittler, CRNA 1613 Oakwood St, Bedford, VA 24523-1213 Ph: (540) 586-2441 |
Heidi Ackermann Shields, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1613 Oakwood St, Bedford, VA 24523 Phone: 540-425-7773 Fax: 540-586-5984 |