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Individual

JOHN RAYMOND WHITEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2546 AZURE COAST DR, LA JOLLA, CA 92037-3510
(858) 922-3750
Mailing address
2546 AZURE COAST DR, LA JOLLA, CA 92037-3510
(858) 922-3750

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G35825
CA

Other

Enumeration date
12/03/2013
Last updated
12/03/2013
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