Individual
DR. WHITNEY DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1399 WEIMER RD, 600, TAOS, NM 87571-6340
(575) 751-0334
(575) 751-0297
Mailing address
4221 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1103
(505) 717-1952
(505) 433-4174
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
28204
AZ
208600000X
Surgery Physician
Primary
MD2006-0821
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
522567001
—
AZ
01
—
NMAA0583
MEDICARE
—
Enumeration date
07/26/2006
Last updated
01/24/2014
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