Individual
NATHAN AARON DE WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
(253) 435-3138
Mailing address
1007 39TH AVE SE, PUYALLUP, WA 98374-2192
(253) 435-3100
(253) 435-3138
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60455073
WA
Other
Enumeration date
08/02/2005
Last updated
04/17/2025
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