institution
David M. Witham Md Inc
Medical Specialty Clinic/Center in Fairbanks, Alaska
NPI 1194918367

David M. Witham Md Inc is a Medical Specialty Clinic/Center based in Fairbanks, AK and is specialized in Medical Specialty. David M. Witham Md Inc practices in Fairbanks, AK. The NPI Number for David M. Witham Md Inc is 1194918367 and holds a License No. 4607 (Alaska).

The current practice location address for David M. Witham Md Inc is 1411 19Th Ave, Fairbanks, AK and can be reached out via phone at 907-457-4900 and via fax at 907-457-4913.

Location: 1411 19Th Ave, Fairbanks, AK, 99701-5902
institution
Provider Profile Details
NPI Number
1194918367
Provider Name
David M. Witham Md Inc
Credential
Provider Entity Type
Organization
Address
1411 19Th Ave, Fairbanks, AK, 99701-5902
Phone Number
907-457-4900
Fax Number
907-457-4913
Provider Enumeration Date
08/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1457328197 01 PERSONAL NPI
institution
Provider Business Practice Location Address Details
Address
1411 19Th Ave
City
State
Zip
99701-5902
Phone Number
907-457-4900
Fax Number
907-457-4913
person
Provider Business Mailing Address Details
Address
1411 19Th Ave
City
State
Zip
99701-5902
Phone Number
907-457-4900
Fax Number
907-457-4913
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
4607 (Alaska)
Definition
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).
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