Individual
MR. DEXTER JORDAN WITCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5000
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-7016
(814) 333-1757
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
MA059313
PA
363AM0700X
Medical Physician Assistant
Primary
OA004264
PA
Other
Enumeration date
09/25/2017
Last updated
11/06/2017
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