Individual
BRIAN B WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12606 E MISSION AVE, SPOKANE VALLEY, WA 99216-3421
(509) 924-6650
Mailing address
PO BOX 758701, BALTIMORE, MD 21275-0001
(800) 639-0579
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004508
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8377624
—
WA
01
—
P00244674
RRMCR
WA
Enumeration date
12/08/2006
Last updated
01/08/2008
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