Individual
JACOB PETER WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2946 E BANNER GATEWAY DRIVE, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Mailing address
2946 E BANNER GATEWAY DRIVE, GILBERT, AZ 85234-2165
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7810
AZ
Other
Enumeration date
03/18/2020
Last updated
12/01/2022
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