Individual
DR. JOHN J WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 MADISON ST STE 1250, SEATTLE, WA 98104-3568
(206) 212-2100
(206) 212-2194
Mailing address
34719 6TH AVE S, FEDERAL WAY, WA 98003-8714
(206) 212-2163
(206) 212-2194
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
49193-20
WI
207W00000X
Ophthalmology Physician
6861546-1205
UT
207W00000X
Ophthalmology Physician
Primary
MD60070926
WA
Other
Enumeration date
11/13/2006
Last updated
01/03/2024
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