Individual
PHILIP D WITKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 E 19TH ST, ATLANTIC, IA 50022-2887
(319) 666-4224
(877) 384-3106
Mailing address
2431 WILEY BLVD SW # 1013, CEDAR RAPIDS, IA 52404-6003
(319) 666-4224
(877) 384-3106
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-098344
IL
207Q00000X
Family Medicine Physician
Primary
49469
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098344
—
IL
Enumeration date
03/08/2006
Last updated
04/05/2022
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