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Individual

DAVID MCALLISTER WITHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7 MUNICIPAL WAY, EDGEWOOD, NM 87015-7210
(505) 281-3406
Mailing address
1709 RICHMOND DR NE, ALBUQUERQUE, NM 87106-1724

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
R63847
NM
363LF0000X
Family Nurse Practitioner
Primary
87469
NM
363LF0000X
Family Nurse Practitioner
Primary
R63847
NM

Other

Enumeration date
10/10/2025
Last updated
08/12/2026
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