DAVID M. WITHAM MD INC NPI 1194918367

NPI Information

DAVID M. WITHAM MD INC is a medical specialty clinic center in Fairbanks, AK. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DAVID M. WITHAM MD INC NPI is 1194918367. The provider is registered as an organization entity type.

The provider's business location address is:

1411 19TH AVE
FAIRBANKS, AK
ZIP 99701-902
Phone: (907) 457-4900
Fax: (907) 457-4913

The provider's authorized official is David M Witham .
The authorized official title is President and has the following contact phone number (907) 452-5527.

The enumeration date for this NPI number is 8/22/2007 and was last updated on 8/22/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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