Individual
ERICH WITTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA, SA-C
Contact information
Practice address
215 S POWER RD STE 106, MESA, AZ 85206-5236
(956) 407-9893
Mailing address
2301 LINKS DR, EDINBURG, TX 78542-4542
(956) 407-9893
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363A00000X
Physician Assistant
Primary
10302
AZ
363A00000X
Physician Assistant
1353
TX
363AM0700X
Medical Physician Assistant
1353-P.A.
PR
Other
Enumeration date
11/04/2020
Last updated
04/25/2024
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