NPI 1174525869

Othon Wiltz, MD

Practitioner Colon & Rectal Surgery Physician Fairfax, VA

Practice location

Address: 3620 Joseph Siewick Dr STE 406, Fairfax, VA 22033-1761
Phone: (703) 359-8640
Fax: (703) 591-6105
Mailing address: 3620 Joseph Siewick Dr Suite 406, Fairfax, VA 22033

Registered specialties (2)

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 0101240155 (VA)

Other Colon & Rectal Surgery providers in Virginia →

Colon & Rectal Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 11687 (PR)

Registry record

NPI: 1174525869
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Aug 2005
Record last updated: 25 Jul 2017

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.