Organization
MARY BETH WITTMAN M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY BETH WITTMAN M.D. (OWNER)
(425) 899-5000
Entity
Organization
Contact information
Practice address
12303 NE 130TH LN STE 450, KIRKLAND, WA 98034-3032
(425) 899-5000
(425) 899-5006
Mailing address
12303 NE 130TH LN STE 450, KIRKLAND, WA 98034-3032
(425) 899-5000
(425) 899-5006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00036040
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7104417
—
WA
Enumeration date
11/11/2008
Last updated
11/11/2008
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