Individual
RICHARD FELIX WITTOCK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1011 BOWLES AVENUE, SUITE 123, FENTON, MO 63026
(636) 717-1100
(636) 717-1113
Mailing address
1011 BOWLES AVENUE, SUITE 123, FENTON, MO 63026
(636) 717-1100
(636) 717-1113
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2002003866
MO
Other
Enumeration date
07/31/2006
Last updated
09/17/2009
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