Individual
DEANN E. DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
(816) 524-2076
Mailing address
1425 NW BLUE PKWY, LEES SUMMIT, MO 64086-5705
(816) 524-3223
(816) 524-2076
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
105919
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207985805
—
MO
Enumeration date
07/07/2005
Last updated
10/10/2011
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