Organization
DAVID J BITZER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J BITZER M.D. (SOLE OWNER)
(217) 726-8252
Entity
Organization
Contact information
Practice address
2930 MONTVALE DR, STE C, SPRINGFIELD, IL 62704-5393
(217) 726-8252
Mailing address
2930 MONTVALE DR, STE C, SPRINGFIELD, IL 62704-5393
(217) 726-8252
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036081888
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081888
—
IL
Enumeration date
10/21/2014
Last updated
10/21/2014
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