Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 33699 | MO |
NPI | 1043200314 |
---|---|
Provider Name | Dr. Arthur Clifford Wittich |
First Address | Lorton, VA 22079-1113 |
Second Address | Fort Belvoir, VA 22060-5901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 08/07/2007 |