Individual
SAMIR EZZELDIN WITTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
3501 S CORONA ST STE 1, ENGLEWOOD, CO 80113-3907
(303) 999-6745
(303) 586-2228
Mailing address
4747 S DOWNING ST, ENGLEWOOD, CO 80113-5917
(303) 870-3293
(303) 586-2228
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
DR.0039762
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82076529
—
CO
Enumeration date
12/06/2005
Last updated
01/15/2024
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