Individual
MR. DANIEL MICHAEL WHITMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA-APRN
Contact information
Practice address
2220 W IOWA AVE, CHICKASHA, OK 73018-2738
(405) 779-2834
(405) 779-2143
Mailing address
1424 SONOMA LAKES BLVD, MOORE, OK 73160-5881
(405) 535-1990
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
70242
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200312810A
—
OK
Enumeration date
10/06/2010
Last updated
02/12/2018
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