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Individual
ALBERTA F WITCHER
Active
Individual
ALBERTA F WITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10000616
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES #
WA
05
—
8329252
—
WA
01
—
970020486
RAILROAD MEDICARE
WA
01
—
US0818501
AETNA PCP PIN
WA
01
—
US2252350
US SPECIALIST PIN
WA
01
—
WI8508
BLUE SHIELD #
WA
Enumeration date
01/25/2007
Last updated
01/04/2011
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