Individual
SAM HERRICK WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
AMBULATORY CLINIC, 825 EASTLAKE AVENUE EAST, SEATTLE, WA 98109
(206) 288-1000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD00040126
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10069
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
8431835
—
WA
Enumeration date
10/27/2006
Last updated
07/08/2007
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