Individual
DR. PAMELA BARR WITTHOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3231 S NATIONAL AVE, SPRINGFIELD, MO 65807-7304
(417) 841-0385
(417) 888-6740
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2009024602
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588873855
—
MO
05
—
182904001
—
AR
01
—
431560263
TRICARE WEST
—
Enumeration date
05/22/2007
Last updated
09/13/2010
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