Individual
DR. DANE BRADFORD WHITTAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
617 E RIVERSIDE DR STE 201, SAINT GEORGE, UT 84790-8721
(435) 628-3334
Mailing address
617 E RIVERSIDE DR STE 201, SAINT GEORGE, UT 84790-8721
(435) 628-3334
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8391810-4101
UT
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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