Organization
VETERANS ADMINISTRATION MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MARIAN WITOSZKA M.D. (PHYSICIAN)
(318) 473-0010
Entity
Organization
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5065
Mailing address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5065
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD05460
RI
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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