Individual
WHITNEY L CHAMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
(701) 456-6101
Mailing address
2615 FAIRWAY ST, DICKINSON, ND 58601-2590
(701) 456-6000
(701) 456-6101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0450
ND
Other
Enumeration date
03/14/2011
Last updated
06/08/2020
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