Individual
DR. LAURA COTTAM DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
US HWY 190 AND NAVAJO ROUTE 35/RED MESA, TEEC NOS POS, AZ 86514
(928) 656-5020
Mailing address
PO BOX 160, SHIPROCK, NM 87420-0160
(505) 368-6001
(928) 656-5021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000350
PA
Other
Enumeration date
10/16/2006
Last updated
09/07/2016
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