Individual
DR. BIREEN LEE MANUEL WHITTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
389 S 900 E, SALT LAKE CITY, UT 84102
(385) 282-2000
(385) 282-2001
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(385) 282-2000
(385) 282-2001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5211301-1205
UT
207R00000X
Internal Medicine Physician
MD00047903
WA
Other
Enumeration date
02/09/2006
Last updated
12/04/2012
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