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Individual
DR. BRADLEY WHITAKER
Active
Individual
DR. BRADLEY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM., FACFAS
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0446
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z3482
HEALTH NET
AZ
05
—
337627
—
AZ
01
—
480030868
RAILROAD MEDICARE
AZ
01
—
5507194
AETNA
AZ
01
—
6287561009
CIGNA
AZ
01
—
AZ0191940
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
10/31/2005
Last updated
12/10/2012
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