Individual
MR. BRETT HERBERT WHETSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4380 AUSTIN BLUFFS PKWY, COLORADO SPRINGS, CO 80918-2932
(719) 454-6010
Mailing address
3205 N ACADEMY BLVD, SUITE 130, COLORADO SPRINGS, CO 80917-5101
(719) 632-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
TAL2794
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74879031
—
CO
Enumeration date
06/19/2009
Last updated
09/09/2024
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