Individual
ROBERT WITCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8212 KELWOOD AVE, BATON ROUGE, LA 70806-4801
(225) 929-7600
(225) 930-7524
Mailing address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 293-2523
(225) 293-1807
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
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