Organization
INTERNAL MEDICINE & PEDIATRIC
Active
Organization
INTERNAL MEDICINE & PEDIATRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN S WITTE MD (MANAGING MEMBER)
(804) 425-3627
Entity
Organization
Contact information
Practice address
6433 CENTRALIA RD, CHESTERFIELD, VA 23832-6556
(804) 425-3627
(804) 425-7679
Mailing address
6433 CENTRALIA RD, CHESTERFIELD, VA 23832-6556
(804) 425-3627
(804) 425-7679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/20/2006
Last updated
01/12/2011
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