Individual
DR. JONATHAN R WHISENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 CIRCLE OF HOPE, CLINIC 1A, SALT LAKE CITY, UT 84112-5550
(801) 585-0100
(801) 585-7902
Mailing address
127 S 500 E STE 600, SALT LAKE CITY, UT 84102-1971
(801) 587-6705
(801) 715-8228
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
5948529-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107039462101
SELECT HEALTH
UT
01
—
P00245904
RAILROAD MEDICARE
UT
Enumeration date
05/08/2006
Last updated
07/21/2022
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