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Individual

DUANE C WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
271 WYATT WAY NE STE 108, BAINBRIDGE ISLAND, WA 98110-2873
(206) 317-6911
(206) 317-6975
Mailing address
271 WYATT WAY NE STE 108, BAINBRIDGE ISLAND, WA 98110-2873
(206) 317-6911
(206) 317-6975

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
12532
AZ
207N00000X
Dermatology Physician
45899
CA
207N00000X
Dermatology Physician
MD0046124
WA
207ND0101X
MOHS-Micrographic Surgery Physician
12532
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
45899
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD0046124
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
976798
AZ
Enumeration date
01/27/2006
Last updated
09/29/2020
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