Individual
STEPHEN R. WHITMOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
FOURTH AND WALNUT STREETS, ATTN: RADIOLOGY DEPARTMENT, LEBANON, PA 17042-1281
(717) 270-7645
(717) 270-7596
Mailing address
FOURTH AND WALNUT STREETS, ATTN: RADIOLOGY DEPARTMENT, LEBANON, PA 17042-1281
(717) 270-7645
(717) 270-7596
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD051390L
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD051390L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001708351
—
PA
Enumeration date
05/24/2006
Last updated
03/02/2016
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