Individual
DR. JOHN HOWARD DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
13334
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133340
—
SC
01
—
260027817
RR MEDICARE ID
SC
Enumeration date
10/04/2006
Last updated
04/30/2015
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