Individual
DR. DAVID WITHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3532
Mailing address
1001 NOBLE ST, FAIRBANKS, AK 99701-4922
(907) 459-3500
(907) 459-3532
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4607
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD4545
—
AK
Enumeration date
03/01/2006
Last updated
03/07/2023
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