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Individual

BRIAN A WHITTAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
459 LOCUST AVE, CHARLOTTESVILLE, VA 22902-4808
(434) 982-7150
Mailing address
PO BOX 11647, DAYTONA BEACH, FL 32120-1647
(386) 274-7800
(386) 274-7801

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101245405
VA

Other

Enumeration date
04/16/2009
Last updated
08/05/2009
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