Phillip Brian Whittenberg PA C

NPI 1053385054 - Physician Assistant - 363AM0700X

NPI Details
NPI 1053385054
Gender Male
Enumeration Date 02/15/2006
Last Updated 08/05/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
BOISE ID, 83713-7935, US
Phone (208) 378-8011
Fax (208) 322-8095
Business Location
PO BOX 191050
BOISE ID, 83719-1050, US
Phone (208) 955-6500
Fax (208) 955-6503
Taxonomy Code 363AM0700X
License State Nevada
License Number PA751
Remove 1053385054 NPI Number

According to our database, Phillip Brian Whittenberg PA C NPI is 1053385054, taxonomy code is 363AM0700X and license number is PA751, license state is located at Nevada. Phillip Brian Whittenberg PA C physically located at 11197 W Fairview Ave, Boise ID, 83713-7935. NPI Number Phillip Brian Whittenberg PA C has the Individual type.

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1053385054 NPI number is provided on an as is basis without warranty of any kind. 1053385054 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip Brian Whittenberg PA C are for informational purposes only.