Individual
JOHN PRICE WITWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3111 INTERLOCKEN DR, EVERGREEN, CO 80439-8846
(303) 674-0219
Mailing address
PO BOX 2167, EVERGREEN, CO 80437-2167
(303) 674-0219
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17813
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17813
STATE LICENSE NUMBER
CO
Enumeration date
01/09/2013
Last updated
01/09/2013
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