Individual
ALAN L WHITNEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3600
(541) 269-0708
Mailing address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3600
(541) 269-0708
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD11291
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240259
—
OR
01
—
97420A005
TRICARE
OR
01
—
C105002
PACIFIC SOURCE
OR
Enumeration date
05/30/2006
Last updated
07/08/2007
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