Whalio Doctors

NPI 1205015906

David Frederick Widitz, MD

Practitioner Child & Adolescent Psychiatry Physician Council Bluffs, IA

Practice location

Address
421 W Broadway STE 302, Council Bluffs, IA 51503-9046
Phone
(319) 208-2744
Fax
(319) 208-2627

Registered specialties (4)

Child & Adolescent Psychiatry Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 036166942 (IL)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 036166942 (IL)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 37338 (IA)
Child & Adolescent Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0804X Licence 37338 (IA)

Registry record

NPI
1205015906
Entity type
Individual
Sex (as registered)
Male
NPI issued
30 Oct 2007
Record last updated
1 Feb 2024

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.