Individual
JAY L WITTENKELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 W 5TH AVE, SUITE 700, SPOKANE, WA 99204-2966
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD00033837
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8192734
—
WA
Enumeration date
08/24/2005
Last updated
12/15/2008
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