Individual
MARK WITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 S SPALDING DR, STE. 301, BEVERLY HILLS, CA 90212-1800
(310) 385-7755
Mailing address
804 SCOTT NIXON MEMORIAL DR, AUGUSTA, GA 30907-2464
(310) 385-7755
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G45108
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
G45108
CA
207P00000X
Emergency Medicine Physician
G45108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G451080
—
CA
Enumeration date
10/10/2005
Last updated
03/20/2024
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