Individual
DR. JOHN B WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12687 W CEDAR DR STE 200, LAKEWOOD, CO 80228-2014
(303) 468-1395
Mailing address
12687 W CEDAR DR, SUITE 200, LAKEWOOD, CO 80228-2010
(303) 468-1395
(303) 468-1294
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2006-0257
NM
2085R0202X
Diagnostic Radiology Physician
27343
CO
2085R0204X
Vascular & Interventional Radiology Physician
2006-0257
NM
Other
Enumeration date
03/17/2006
Last updated
12/20/2019
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