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Individual

SAM HERRICK WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

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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