Individual
CHARLES E WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 PROSPECT PL, CORONADO, CA 92118-1943
(619) 522-3722
Mailing address
PO BOX 28247, TEMPE, AZ 85285-8247
(480) 967-6500
(480) 967-6540
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A33880
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A338800
—
CA
Enumeration date
08/10/2005
Last updated
03/22/2011
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