Individual
DR. LESLIE ALITZ WITTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2320 S MAIN ST, MARYVILLE, MO 64468-3622
(660) 582-4022
Mailing address
2320 S MAIN ST, MARYVILLE, MO 64468-3622
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2017017102
MO
Other
Enumeration date
06/08/2017
Last updated
06/22/2017
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