Individual
TIA DAWN DERRITT-WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 580-0369
(785) 354-0519
Mailing address
823 SW MULVANE ST, TOPEKA, KS 66606-1764
(785) 580-0369
(785) 354-0519
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02637
KS
Other
Enumeration date
05/11/2022
Last updated
06/02/2026
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