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Individual
MR. ROY DAVID RUSSELL WHITEMAN JR.
Active
Individual
MR. ROY DAVID RUSSELL WHITEMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15914
MD
225100000X
Physical Therapist
634
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
CAREFIRST BCBS OF DC NCA
—
05
—
0157289000
—
WV
01
—
1017320
WORKERS COMPENSATION
WV
01
—
222839
MAMSI
—
01
—
40024504
BLUE CROSS BLUE SHIELD
MD
01
—
7555296
AETNA
—
Enumeration date
04/27/2006
Last updated
07/13/2026
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