Individual
NICHOLAS SCOTT-WITTENBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
913 W MAIN ST APT 509, OKLAHOMA CITY, OK 73106-7917
(908) 227-3062
Mailing address
40 N KINGSHIGHWAY BLVD APT 4E, SAINT LOUIS, MO 63108-1350
(908) 227-3062
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
45380
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MD
Other
Enumeration date
04/02/2018
Last updated
06/13/2025
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