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Individual

DR. STEPHANIE DAWN DEWITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(855) 446-5937
(740) 446-5956
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5225
(740) 446-5956

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.127830
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122593
OH
05
0197206
OH
05
1063791689
WV
Enumeration date
08/12/2011
Last updated
01/21/2021
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