Gordon Allen Witwer M.D.

NPI 1053351932 - Radiology - 2085N0700X

NPI Details
NPI 1053351932
Gender Male
Enumeration Date 06/07/2006
Last Updated 10/19/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
711 W 38TH ST
SUITE B-7
AUSTIN TX, 78705-1121, US
Phone (512) 413-9225
Fax
Business Location
PO BOX 301869
AUSTIN TX, 78703-0032, US
Phone (512) 413-9225
Fax
Toxanomy
Taxonomy Code 2085N0700X
License State Texas
License Number J5064
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According to our database, Dr. Gordon Allen Witwer M.D. NPI is 1053351932, taxonomy code is 2085N0700X and license number is J5064, license state is located at Texas. Gordon Allen Witwer M.D. physically located at 711 W 38th St, Austin TX, 78705-1121. NPI Number Gordon Allen Witwer M.D. has the Individual type.

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1053351932 NPI number is provided on an as is basis without warranty of any kind. 1053351932 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Allen Witwer M.D. are for informational purposes only.