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Individual

DR. BRIAN R WHITNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
66 W HARDING AVE, SUITE B, CEDAR CITY, UT 84720
(435) 586-9949
Mailing address
PO BOX 988, CEDAR CITY, UT 84720
(435) 586-9949
(435) 865-0388

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1134229934
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00314487
MEDICARE RAILROAD
UT
Enumeration date
11/04/2006
Last updated
01/02/2008
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