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1063407641
JOHN T WITTE
MERIDIAN, ID
NPI
1063407641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: ID M-5529)
Enumeration Date
2005-09-20
Last Update Date
2018-09-21
Business Address
JOHN T WITTE M.D.
2235 E GALA ST
MERIDIAN, ID 83642-8026
Phone number: 208-887-3724
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Mailing Address
JOHN T WITTE M.D.
425 W BANNOCK ST
BOISE, ID 83702-6035
Phone number: 208-343-1702
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