Individual
BEECHER C WHITEAKER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
NAVAL HOSPITAL OAK HBR, 3475 N SARATOGA STREET, OAK HARBOR, WA 98278-8800
(360) 257-2302
Mailing address
NAVAL HOSPITAL OAK HBR, 3475 N SARATOGA STREET, OAK HARBOR, WA 98278-8800
(360) 257-2302
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
60991
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235690140
US NAVY
—
Enumeration date
08/25/2015
Last updated
08/25/2015
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