Mark A Witt DPM

NPI 1093782427 - Podiatrist - 213E00000X

NPI Details
NPI 1093782427
Gender Male
Enumeration Date 03/03/2006
Last Updated 06/25/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
709 HOLLYBROOK DR
SUITE 3401
LONGVIEW TX, 75605-2411, US
Phone (903) 753-1778
Fax (903) 753-7202
Business Location
709 HOLLYBROOK DR
SUITE 3401
LONGVIEW TX, 75605-2411, US
Phone (903) 753-1778
Fax (903) 753-7202
Toxanomy
Taxonomy Code 213E00000X
License State Texas
License Number 1692
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According to our database, Dr. Mark A Witt DPM NPI is 1093782427, taxonomy code is 213E00000X and license number is 1692, license state is located at Texas. Mark A Witt DPM physically located at 709 Hollybrook Dr, Longview TX, 75605-2411. NPI Number Mark A Witt DPM has the Individual type.

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1093782427 NPI number is provided on an as is basis without warranty of any kind. 1093782427 is maintained by the National Plan & Provider Enumeration System. The contents of Mark A Witt DPM are for informational purposes only.