Individual
MR. DAVID L WITHERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2 STONECREST DRIVE, HUNTINGTON, WV 25701-9391
(304) 525-2273
(304) 525-2165
Mailing address
2 STONECREST DRIVE, HUNTINGTON, WV 25701-9391
(304) 525-2273
(304) 525-2165
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01146
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0080133
—
OH
05
—
1124002068
—
WV
05
—
7100120810
—
KY
01
—
WV0029A
PTAN FOR OCCUMED, LLC
WV
Enumeration date
12/05/2005
Last updated
03/30/2022
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