Individual
JASON WITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
107 CORRAL WAY APT A, DODGE CITY, KS 67801-7253
(205) 585-1301
Mailing address
107 CORRAL WAY APT A, DODGE CITY, KS 67801-7253
(205) 585-1301
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
43-557387-122
KS
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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