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Brandon Michael Dittmar

NPI Registration Record

Provider / OrganizationNPIDate Certified
BRANDON MICHAEL DITTMAR18317041132020-09-13
Entity TypeIndividual
Provider Name Brandon Michael Dittmar NP
Practice Office Address1380 HORSEMILL RD
EL CAJON, CA US
Practice Office Telephone8053903680
Mailing Address1380 HORSEMILL RD
EL CAJON, CA 920217807 US
Business Telephone8053903680
HPT Codes
CodeLicense NoState
363L00000X PRIMARYNP95015271 CA
OPI Codes

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