Individual
JOHN BRENNAN HUNTER WHITACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2213 2ND STREET, CORALVILLE, IA 52241-1205
(319) 358-2406
Mailing address
601 HIGHWAY 6 W, IOWA CITY, IA 52246-2209
(319) 338-0581
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-53201
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD-53201
PERMANENT LICENSE
IA
Enumeration date
06/16/2020
Last updated
07/05/2024
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