DAVID M. WITHAM MD INC
Ambulatory Health at 19 Ave, Fairbanks, AK

License number
Alaska 4607
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. DAVID M WITHAM M.D.
Title: PRESIDENT
Phone: (907) 452-5527
Address
Address
1411 19Th Ave, Fairbanks, AK 99701
National Provider ID: 1194918367
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DAVID M. WITHAM MD INC at bizstanding.com

David M. Witham MD, Inc

126 Snowy Owl Ln, Fairbanks, AK 99712

Registration:
Apr 24, 2007
State ID:
108137
Business type:
Business Corporation
Expiration:
Perpetual
Director, President, Shareholder, Secretary, Treasurer, Vice President:
David Witham (Director, President, Shareholder, Secretary, Treasurer, Vice President)
Agent:
David M. Witham,126 Snowy Owl Ln, Fairbanks, AK 99712 (Mailing)
Next Report:
20150102

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