Individual
NICHOLAS PAUL WITTWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 251-0400
(435) 251-0401
Mailing address
1055 NORTH 500 WEST, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7604350-1206
UT
Other
Enumeration date
08/28/2013
Last updated
09/15/2021
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