IndividualActive
Mary Dittrich, MD
NPI 1437194552 · Nephrology Physician · Meridian, ID
Provider details
- NPI number
- 1437194552
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M7706 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3525 E Louise Dr
Ste 100
Meridian, ID 83642-6302
Phone: (208) 846-8335
Approximate (ZIP-level) locationGet directions
Mailing address
2702 Holden Ln
Boise, ID 83706-5060
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.