Individual
MRS. CHRISTI RENAE DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 SW 119TH ST, OKLAHOMA CITY, OK 73170-4908
(405) 425-8100
(405) 425-8109
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(405) 425-8100
(405) 425-8109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1506
OK
363AM0700X
Medical Physician Assistant
1506
OK
Other
Enumeration date
06/10/2006
Last updated
07/14/2017
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