Provider Demographics
NPI:1194806646
Name:WITMAN, JAMES J (NMD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:WITMAN
Suffix:
Gender:M
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 E MARCO POLO RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-1136
Mailing Address - Country:US
Mailing Address - Phone:480-251-6866
Mailing Address - Fax:
Practice Address - Street 1:8131 E INDIAN BEND RD
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85250-4822
Practice Address - Country:US
Practice Address - Phone:480-883-7240
Practice Address - Fax:480-883-7241
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ01655175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath