Individual
DR. DAVID STAFFORD WHITNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1045 QUINCY ST, PORT TOWNSEND, WA 98368-5414
(360) 385-6190
Mailing address
1045 QUINCY ST, PORT TOWNSEND, WA 98368-5414
(360) 385-6190
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD00010506
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1079680
—
WA
01
—
44034
WA STATE LABOR AND INDUSTRIES
WA
01
—
601-432692
WA STATE UBI
—
Enumeration date
08/19/2008
Last updated
08/19/2008
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