Individual
DR. GARY LOWELL WHITACRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5555 SCARBOROUGH BLVD, COLUMBUS, OH 43232-4730
(614) 863-7116
Mailing address
768 BERING CT, WESTERVILLE, OH 43081-6203
(614) 890-1755
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
35025958
OH
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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