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Individual

MR. RICHARD L WITHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA60460660
WA
363A00000X
Physician Assistant
Primary
PA60460660
WA
363AS0400X
Surgical Physician Assistant
PA60460660
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2036046
WA
01
331850
LABOR & INDUSTRIES
WA
01
P01547455
RR MEDICARE
WA
Enumeration date
11/01/2010
Last updated
08/02/2019
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