NPI 1275863243

John T. Witte, M.D., P.A.

Organisation Gastroenterology Physician Meridian, ID

Practice location

Address: 2235 E Gala St, Meridian, ID 83642-8026
Phone: (208) 887-3724
Fax: (208) 887-1682
Mailing address: 425 W Bannock St, Boise, ID 83702-6035

Authorised official

Name: John T Witte
Title: Provider
Phone: (208) 343-6458

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X Licence M5529 (ID)

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1275863243
Entity type: Organization
NPI issued: 13 Jan 2010
Record last updated: 20 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.