Individual provider · Type 1 NPI
Mark Witaczack, DO
Diagnostic Radiology Physician · Chanute, KS
NPI number
1104962182
Active
Practice location
629 S Plummer
Chanute, KS 66720
Fax (316) 321-4763
Mailing address
PO Box 662
Chanute, KS 66720
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 05-20132 (KS) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3 other providers at this address
Other diagnostic radiology physician providers in Chanute
About NPI 1104962182
Mark Witaczack, DO's National Provider Identifier is 1104962182, issued on Jan 29, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Chanute, KS. The record was last updated on Jul 8, 2007.