Individual
DR. MARY CHRISTINE WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4306
(719) 584-4861
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4306
(719) 584-4861
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01065579A
IN
207P00000X
Emergency Medicine Physician
Primary
DR.0050033
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000659993
ANTHEM BC/BS
IN
01
—
000000670714
ANTHEM BC/BS
IN
05
—
200987460A
—
IN
05
—
83401563
—
CO
01
—
P00837117
RAILROAD MEDICARE
IN
01
—
P00852082
RAILROAD MEDICARE
IN
Enumeration date
06/04/2007
Last updated
06/23/2016
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