Individual
DAVID JOHN WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1301 HAL GREER BLVD, HUNTINGTON, WV 25701
(304) 525-0572
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02693
KY
207Q00000X
Family Medicine Physician
02693
KY
207Q00000X
Family Medicine Physician
Primary
1674
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204091
BCBS
KY
01
—
00218366
RR MEDICARE
WV
05
—
2159006
—
OH
05
—
5630298000
—
WV
05
—
64025802
—
KY
01
—
930102983
RAILROAD
—
Enumeration date
01/06/2006
Last updated
11/12/2020
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