Individual
JEFFREY J. WHITTALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1291
Mailing address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-1291
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-08-0778
OH
207R00000X
Internal Medicine Physician
MD00047942
WA
208000000X
Pediatrics Physician
35-08-0778
OH
208M00000X
Hospitalist Physician
Primary
MD00047942
WA
Other
Enumeration date
12/05/2006
Last updated
06/25/2021
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