Individual
ORION WHITAKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 955-6353
Mailing address
PO BOX 64382, BALTIMORE, MD 21264-4382
(410) 550-0942
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
D61754
MD
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
D61754
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405624800
—
MD
Enumeration date
06/11/2006
Last updated
02/20/2013
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