Nathan A Whitaker O.D.

NPI 1053399592 - Optometrist - 152W00000X

NPI Details
NPI 1053399592
Gender Male
Enumeration Date 01/05/2006
Last Updated 11/26/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
3701 LOOP RD
TUSCALOOSA VAMC
TUSCALOOSA AL, 35404-5015, US
Phone (205) 554-2822
Fax
Business Location
3701 LOOP RD
TUSCALOOSA VAMC
TUSCALOOSA AL, 35404-5015, US
Phone (205) 554-2822
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Alabama
License Number S825TA134
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According to our database, Dr. Nathan A Whitaker O.D. NPI is 1053399592, taxonomy code is 152W00000X and license number is S825TA134, license state is located at Alabama. Nathan A Whitaker O.D. physically located at 3701 Loop Rd, Tuscaloosa AL, 35404-5015. NPI Number Nathan A Whitaker O.D. has the Individual type.

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1053399592 NPI number is provided on an as is basis without warranty of any kind. 1053399592 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan A Whitaker O.D. are for informational purposes only.