Individual
ROBERT WITCHER
Active
Individual
ROBERT WITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
021294
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005597725
AETNA PROVIDER NUMBER
LA
01
—
110181669
RR MEDICARE PROVIDER NUMB
LA
05
—
1956678
—
LA
01
—
721077264WI
HUMANA PROVIDER NUMBER
LA
01
—
F47653
STERLING PROVIDER NUMBER
LA
Enumeration date
10/06/2006
Last updated
02/21/2017
Update your record
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