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Individual

DANIEL WRIGHT WHITEHEAD

Active
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Individual

DANIEL WRIGHT WHITEHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01027897A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100338790
IN
01
300017751
RAILROAD MEDICARE
IN
05
64759897
KY
01
P00173757
RAILROAD MEDICARE
IN
01
P00356436
RAILROAD MEDICARE
IN
Enumeration date
10/04/2005
Last updated
06/11/2014
Update your record

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