Individual
MR. BRIAN DANIEL WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 E. 54TH STREET, STE 100, DAVENPORT, IA 52807
(563) 421-0555
(563) 421-0559
Mailing address
1801 E 54TH ST STE 100, DAVENPORT, IA 52807-7214
(563) 421-0555
(563) 421-0559
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
A141309
CA
207RP1001X
Pulmonary Disease Physician
Primary
MD-44909
IA
207RP1001X
Pulmonary Disease Physician
MD44909
IA
Other
Enumeration date
04/21/2010
Last updated
04/26/2021
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