Individual
MS. JUANITA J. BITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
537 S FREEBORN ST, MARION, KS 66861-1256
(620) 382-2033
(877) 409-1174
Mailing address
1301 W 12TH AVE STE 301, EMPORIA, KS 66801-2590
(620) 343-2376
(620) 343-0095
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00415
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100406940C
—
KS
Enumeration date
08/09/2005
Last updated
10/17/2023
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