Individual
PETER EUGENE DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 N MAIN ST, MCPHERSON, KS 67460-2845
(620) 241-4477
(620) 241-2716
Mailing address
1101 N MAIN ST, MCPHERSON, KS 67460-2845
(620) 241-4477
(620) 241-2716
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-24422
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100166460D
—
KS
Enumeration date
07/18/2006
Last updated
03/01/2011
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