IndividualActive
Mark Wittry, MD
NPI 1497721088 · Nuclear Medicine Physician · Saint Louis, MO
Provider details
- NPI number
- 1497721088
- Entity type
- Individual
- Primary specialty
- Nuclear Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- R5F02 (MO)
Practice location
615 S New Ballas Rd
Dept of Nuclear Medicine
Saint Louis, MO 63141-8221
Phone: (314) 251-6465
Fax: (314) 251-4286
Mailing address
11475 Olde Cabin Rd
Saint Louis, MO 63141-7128
Registry dates
- Enumerated
- 2006-02-24
- Last updated
- 2016-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.