Organization
PACIFIC RETINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE WITTMER (DIRECTOR)
(925) 943-6800
Entity
Organization
Contact information
Practice address
122 LA CASA VIA, #223, WALNUT CREEK, CA 94598-3052
(925) 943-6800
(925) 943-6880
Mailing address
122 LA CASA VIA, #223, WALNUT CREEK, CA 94598-3052
(925) 943-6800
(925) 943-6880
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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