Individual
EMILY MARIE WITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
11960 LIONESS WAY STE 120, PARKER, CO 80134-5640
(720) 542-6700
Mailing address
PO BOX 1460, FRISCO, CO 80443-1460
(419) 356-0331
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17-182
CO
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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