Individual
ELIZABETH WITMER DUNMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1086 FRANKLIN ST, BLDG E, 3RD FLOOR, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Mailing address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(814) 410-8300
(814) 410-8331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD053089
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001464210
—
PA
01
—
079367
PREFERRED/AMERI HEALTH
PA
01
—
110235574
RR MEDICARE
PA
01
—
12876W420
GEISINGER
—
01
—
28767
HEALTH AM/HEALTH ASSUR
PA
01
—
309966
UPMC
PA
01
—
DU079367
HIGHMARK
PA
Enumeration date
09/01/2005
Last updated
09/06/2016
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