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Individual

DR. MARK. W. WITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3960 W CRAIG RD, SUITE102, NORTH LAS VEGAS, NV 89032-2731
(702) 473-8380
(702) 473-8383
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 507-2430
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
601
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316064942
NV
Enumeration date
03/26/2007
Last updated
01/26/2012
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