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Jeffrey Ditter, NP
NPI 1508307190 · on the registry since 2017
Practice
- Address
- 100 Medical Plz
Lake St Louis, MO 63367 - Phone
- (636) 625-5200
- Fax
- (636) 625-5314
- Organisation at this address
- Cep America Llc
Ssm Health Care St. Louis
Ssm Health Care St. Louis
Forest Physician Services, Llp
Lake Forest Emergency Group LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 56
Registry record
- Primary taxonomy
- Nurse Practitioner
363L00000X
- Also registered as
- Nurse Practitioner
- Licence states on file
- IA, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri