Individual
SAMUEL P WHITMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3735 86TH ST, URBANDALE, IA 50322-4008
(515) 270-8545
(515) 270-0548
Mailing address
3725 INGERSOLL AVE, DES MOINES, IA 50312-3410
(515) 279-2020
(515) 255-8002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002398
IA
Other
Enumeration date
11/12/2007
Last updated
09/16/2013
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