Individual
DR. DENNIS WARREN GAITHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 S 2ND ST, MOUNT VERNON, WA 98273-4209
(360) 419-3500
Mailing address
1512 S 11TH ST, MOUNT VERNON, WA 98274-5008
(360) 336-9509
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00019927
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8190027
—
WA
Enumeration date
06/16/2006
Last updated
07/08/2007
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