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Individual

DR. RYAN MICHAEL WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D

Contact information

Practice address
1054 EAST RIVERSIDE DR., SUITE 201, ST. GEORGE, UT 84790-4825
(435) 688-8991
(435) 688-2122
Mailing address
1054 EAST RIVERSIDE DR, SUITE 201, ST. GEORGE, UT 84790-4825
(435) 688-8991
(435) 688-2122

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
7718018-4101
UT
231H00000X
Audiologist
Primary
7718018-4101

Other

Enumeration date
07/07/2010
Last updated
02/15/2012
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