Individual
MR. MICHAEL MIRICK WHITTINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE
Contact information
Practice address
6555 HIGH CIRCLE, MORRISON, CO 80465
(303) 475-9945
Mailing address
6555 HIGH CIR, MORRISON, CO 80465-2625
(303) 475-9945
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167397
CO
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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