Individual
BRUCE EVAN WITMER
Active
Individual
BRUCE EVAN WITMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8283
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11191170
CAQH
—
05
—
20-16215
—
NV
01
—
XPY194499
MEDI-CAL PIN
CA
Enumeration date
11/11/2005
Last updated
07/16/2021
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