| Robert R. Witham, Md. Inc,ps | |
|
224 N Washington St Port Angeles WA 98362-3908 | |
| (360) 452-5322 | |
| (360) 452-5236 |
| Full Name | Robert R. Witham, Md. Inc,ps |
|---|---|
| Speciality | Internal Medicine |
| Location | 224 N Washington St, Port Angeles, Washington |
| Authorized Official Name and Position | Cathy Vanos (BILLER) |
| Authorized Official Contact | 3604525322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert R. Witham, Md. Inc,ps 224 N Washington St Port Angeles WA 98362-3908 Ph: (360) 452-5322 | Robert R. Witham, Md. Inc,ps 224 N Washington St Port Angeles WA 98362-3908 Ph: (360) 452-5322 |
| NPI Number | 1023361367 |
|---|---|
| Provider Enumeration Date | 10/24/2012 |
| Last Update Date | 10/24/2012 |
| Medicare PECOS PAC ID | 4688825573 |
|---|---|
| Medicare Enrollment ID | O20121128000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023361367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert R Witham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649296971 PECOS PAC ID: 3971526815 Enrollment ID: I20060106000342 |
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