Individual
JOHN H WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 S. PIONEER WAY, STE 350, MOSES LAKE, WA 98837
(509) 793-9789
(509) 764-3250
Mailing address
1550 S. PIONEER WAY, STE 350, MOSES LAKE, WA 98837
(509) 793-9789
(509) 764-3250
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00034453
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113327
L&I
WA
05
—
8204869
—
WA
Enumeration date
07/20/2006
Last updated
01/08/2013
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