| Phillip Witte, | |
|
516 E Nizhoni Blvd, Gallup, NM 87301-5748 | |
| (505) 722-1000 | |
| Not Available |
| Full Name | Phillip Witte |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 516 E Nizhoni Blvd, Gallup, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144853730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | RN196023 (Arizona) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 309956 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Witte, 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 | Phillip Witte, 516 E Nizhoni Blvd, Gallup, NM 87301-5748 Ph: (505) 722-1000 |
Iris R Kovach, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Mayra Rael, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 | |
Loretta Kendricks, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Mr. Manuel Dejesus Zarate Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-506-6076 | |
Michael Lee Robinson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1421 | |
Ms. Katrina Lucille Pinczes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1901 Red Rock Dr, Gallup, NM 87301 Phone: 330-603-5716 | |
Shane Parks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 516 E Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 |