Surgery Yellow Pages

General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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GREGORY P. WITTPENN, MD PA

Surgery Yellow Pages

Nacogdoches, Texas

Provider NPI: 1366627499

Organization Information:
Organization Name:  GREGORY P. WITTPENN, MD PA


Practice Location:
3616 N UNIVERSITY DR  NACOGDOCHES, TX 75965 US
Tel: 936-564-3744  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2082S0105XPhysicians
Plastic Surgery
Surgery of the Hand
Y2086S0122XPhysicians
Surgery

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD007OLYTX01
173182001TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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