Individual
DR. PAUL D WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 E CENTER STREET, PROVO, UT 84606-3554
(801) 344-4338
(801) 344-4225
Mailing address
PO BOX 270, PROVO, UT 84603-0270
(801) 344-4686
(801) 344-4225
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
3618061205
UT
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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