Individual
MR. JAMES PATRICK WITTSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 O ST, GREELEY, CO 80631-9503
(970) 304-6235
(970) 304-6241
Mailing address
5919 N COUNTY ROAD 19, FORT COLLINS, CO 80524-9722
(970) 407-1916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1010
CO
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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