Richard Wittock, D.P.M

NPI 1215943105 · on the registry since 2006 · sole proprietor

Practice

Address: 1011 Bowles Avenue
Suite 123
Fenton, MO 63026
Phone: (636) 717-1100
Fax: (636) 717-1113
Organisation at this address: Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 67

Registry record

Primary taxonomy: Podiatrist
213E00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-09-17
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri