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Individual

BRUCE H WITTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
226 S WOODS MILL RD, SUITE 52 WEST, CHESTERFIELD, MO 63017-3662
(314) 434-2399
(314) 434-5653
Mailing address
619 FOREST CT, SAINT LOUIS, MO 63105-2705

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R4N45
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203326111
MO
01
4026
BC/BS MISSOURI
MO
Enumeration date
01/26/2006
Last updated
03/30/2011
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