Individual
DR. JOHN H WHITING JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
444 HOSPITAL WAY, SUITE 701, POCATELLO, ID 83201-2701
(208) 233-7931
(208) 233-0423
Mailing address
444 HOSPITAL WAY, SUITE 701, POCATELLO, ID 83201-2701
(208) 233-7931
(208) 233-0423
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
M-8625
ID
Other
Enumeration date
02/28/2006
Last updated
07/08/2007
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