Doctor Name: | AARON DAVID DEWITT |
NPI Number: | 1033552575 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | OT015103 |
Business Practice Address: | 5515 Peach St Erie, PA - 165092603 |
Business Phone Number: | 8148644031 |
Business Fax Number: | |
Mailing Address: | 3012 Pittsburgh Ave, ERIE |
State: | PA |
Postal Code: | 165081022 |
Phone Number: | 4143241045 |
Fax Number: | |
NPI Enumeration Date: | 04/15/2013 |
NPI Last Update Date: | 04/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | OT015103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |