Individual
SARAH ANNE WITESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1075 SW GRANDVIEW AVE STE 200, GRANTS PASS, OR 97527-5118
(414) 798-3635
(541) 476-2841
Mailing address
1075 SW GRANDVIEW AVE STE 200, GRANTS PASS, OR 97527-5118
(414) 798-3635
(541) 476-2841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10140302-1206
UT
363A00000X
Physician Assistant
Primary
10140302-8906
UT
Other
Enumeration date
10/31/2016
Last updated
10/18/2022
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