Individual
CRYSTAL A. DE WIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330-9010
(681) 342-3600
Mailing address
12 ASHBURY LN, FAIRMONT, WV 26554-3473
(412) 303-0494
(412) 487-2555
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3780
WV
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
3780
WV
207P00000X
Emergency Medicine Physician
3780
WV
207Q00000X
Family Medicine Physician
3780
WV
Other
Enumeration date
04/09/2006
Last updated
02/26/2025
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