Individual
BRIAN DOUGLAS DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
21321 E OCOTILLO RD STE 110, QUEEN CREEK, AZ 85142-5993
(480) 677-4545
Mailing address
21321 E OCOTILLO RD STE 110, QUEEN CREEK, AZ 85142-5993
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
UO3432
FL
Other
Enumeration date
10/02/2013
Last updated
08/24/2021
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