Individual
MR. JEFFREY A. WITTKOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 967-5868
(253) 967-5868
Mailing address
9220 WESTMONT PL SW, LAKEWOOD, WA 98498-3748
(253) 967-5868
(253) 967-5868
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1092365
TX
363A00000X
Physician Assistant
Primary
PA61036629
WA
Other
Enumeration date
12/28/2010
Last updated
12/22/2020
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