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Organization

GREGORY L. WHITAKER, DO, P.L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY LOWELL WHITAKER D.O. (DIRECTOR)
(915) 799-2388
Entity
Organization

Contact information

Practice address
5959 GATEWAY BLVD W, SUITE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 771-6496
Mailing address
5959 GATEWAY BLVD W, SUITE 120, EL PASO, TX 79925-3331
(915) 779-1716
(915) 771-6496

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
M2497
TX

Other

Enumeration date
11/03/2011
Last updated
11/03/2011
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