Organization
SAMUEL R WHITAKER MD PROF CORP
Active
Organization
SAMUEL R WHITAKER MD PROF CORP
Active
Other names
SAMUEL R. WHITAKER, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL ROBINSON WHITAKER M.D. (SOLE PROPRIETOR)
(562) 997-3990
Entity
Organization
Contact information
Practice address
2888 LONG BEACH BLVD, STE 150, LONG BEACH, CA 90806-1560
(562) 997-3990
(562) 997-4166
Mailing address
2888 LONG BEACH BLVD, STE 150, LONG BEACH, CA 90806-1560
(562) 997-3990
(562) 997-4166
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
—
—
Other
Enumeration date
01/20/2009
Last updated
11/11/2010
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