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Individual

DANIEL JAMES WHITMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1301 HAL GREER BLVD, HUNTINGTON, WV 25701-3803
(304) 525-0572
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1926
WV
208000000X
Pediatrics Physician
1926
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000248028
ANTHEM
WV
01
001709560
MT. STATE
WV
01
00222221
RR MEDICARE
WV
05
1808334000
WV
05
2334361
OH
05
64057264
KY
Enumeration date
01/23/2006
Last updated
06/03/2024
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