Individual
COLLEEN ELISABETH WITTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
1 BARNES JEW HOSP PLZ, SAINT LOUIS, MO 63110-1003
(314) 454-8877
Mailing address
660 S EUCLID AVE, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2023020099
MO
Other
Enumeration date
04/14/2022
Last updated
06/21/2023
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