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NPI Code Detail

MEDICARE: CHANCE WITT

MEDICARE: CHANCE WITT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist AssistantNV

General Provider Information

NPI Number : 1578417812
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANCE WITT
Provider Business Mailing Address
First Line : 7682 CASCADE RIDGE CT
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3260
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8280 W WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-3612
Country : US
Telephone Number : 702-492-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2026
Last Update Date : 02/24/2026

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Directions to “ CHANCE WITT ” Practice Location

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