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Individual
DR. RICHARD M WITTEN
Active
Individual
DR. RICHARD M WITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G7782
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000G77820
BLUE SHIELD OF CA
CA
Enumeration date
06/24/2005
Last updated
08/26/2008
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