Organization
BRUCE J WITMER, M.D., PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE J WITMER M.D. (PRESIDENT/OWNER)
(559) 432-5633
Entity
Organization
Contact information
Practice address
6121 N THESTA ST, STE 106, FRESNO, CA 93710-8603
(559) 432-5633
Mailing address
6121 N THESTA ST, STE 106, FRESNO, CA 93710-8603
(559) 432-5633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G47289
CA
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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