Individual
MR. DAVID STANTON WHITTAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
169 BIRCH ST, BOONE, NC 28607-5069
(828) 264-4553
(828) 262-3649
Mailing address
169 BIRCH ST, BOONE, NC 28607-5069
(828) 264-4553
(828) 262-3649
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
200000665
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89126F4
—
NC
Enumeration date
07/21/2005
Last updated
07/01/2013
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