Individual
TYLER WITZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6710 N DURANGO DR, LAS VEGAS, NV 89149-4408
(702) 216-3346
(702) 671-6883
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23869
NV
207Q00000X
Family Medicine Physician
OP60949403
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972908150
—
NV
01
—
23869
STATE LICENSE
NV
Enumeration date
10/30/2014
Last updated
07/10/2023
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