Search › Arizona › 207V00000X
Ty Witt, M.D
NPI 1467444828 · on the registry since 2005
Practice
- Address
- 19610 N 68th Ave
Glendale, AZ 85308 - Phone
- (623) 215-6532
- Organisation at this address
- Jmm Ventures, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 207V00000X
- Licence states on file
- AZ, WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-15
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 Arizona