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Individual

DR. DAVID M DEWITTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3025 HAMAKER CT STE 350, FAIRFAX, VA 22031-2243
(703) 573-6400
Mailing address
5211 SPRING BRANCH BLVD, DUMFRIES, VA 22025-3048
(317) 460-1940

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101275603
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200169350
IN
05
200169350A
IN
05
287935502
TX
01
P01205501
RRMC
Enumeration date
11/18/2005
Last updated
12/20/2023
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