Individual
MR. FLANAGAN WHITSITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6641 SAN ANGELO AVE, JOSHUA TREE, CA 92252-2225
(760) 366-9773
Mailing address
6641 SAN ANGELO AVE, JOSHUA TREE, CA 92252-2225
(760) 366-9773
(951) 695-3949
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PA16888
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPA16888A
MEDICARE PPIN
CA
Enumeration date
11/22/2006
Last updated
12/03/2007
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