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Individual

DR. GARRISON LAWRENCE WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2601 E ROOSELVELT ST, PHOENIX, AZ 85008
(602) 344-5011
Mailing address
2929 E THOMAS RD, PHOENIX, AZ 85016-8034
(602) 470-5043

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
11276
SD
207XS0106X
Orthopaedic Hand Surgery Physician
131664
MT
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
74311
AZ
207XS0106X
Orthopaedic Hand Surgery Physician
TEMP
TX
208600000X
Surgery Physician
74311
AZ
208600000X
Surgery Physician
MT180545
PA
2086S0105X
Surgery of the Hand (Surgery) Physician
74311
AZ

Other

Enumeration date
06/01/2007
Last updated
10/31/2024
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