Doctor Name: | JOHN GERARD BITWINSKI |
NPI Number: | 1124026539 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | M-8805 |
Business Practice Address: | 44 N 100 E Preston, ID - 832631326 |
Business Phone Number: | 2088521937 |
Business Fax Number: | |
Mailing Address: | Po Box 1108, BOUNTIFUL |
State: | UT |
Postal Code: | 840111108 |
Phone Number: | 8012962113 |
Fax Number: | 8012961715 |
NPI Enumeration Date: | 07/09/2005 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | M-8805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |