Individual
MR. SCOTT BERNARD WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMP, RC
Contact information
Practice address
262 WINSLOW WAY E, BAINBRIDGE ISLAND, WA 98110-2430
(206) 852-2572
Mailing address
PO BOX 10930, BAINBRIDGE ISLAND, WA 98110-0930
(206) 852-2572
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00018246
WA
174400000X
Specialist
RC00047268
WA
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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