Individual
BRIAN PAUL WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55166
CA
363AS0400X
Surgical Physician Assistant
55166
CA
363AS0400X
Surgical Physician Assistant
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Other
Enumeration date
07/21/2015
Last updated
05/12/2025
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