Provider Demographics
NPI:1851327456
Name:DILTS, STEPHEN L JR (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:DILTS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4200
Mailing Address - Fax:717-845-4791
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2304
Practice Address - Fax:717-851-3374
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD061404L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA125022OtherVALUE OPTIONS
PA01141001OtherCAPITAL BLUE CROSS
PA260040720OtherRAILROAD MEDICARE
PA1059146OtherCIGNA BEHAV HEALTH
PA908577OtherPA BLUE SHIELD
PA687058OtherCAREFIRST BCBS OF MARYLAN
PA001639263Medicaid
PA223632000OtherMAGELLAN
PA258396OtherMAMSI
PA258396OtherMAMSI
PA1059146OtherCIGNA BEHAV HEALTH
PA260040720OtherRAILROAD MEDICARE
PA223632000OtherMAGELLAN