Individual
BRIAN J WHIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO, MSC 10-8000, ALBUQUERQUE, NM 87106
(505) 272-5062
(505) 925-7290
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-8060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2019-0102
NM
Other
Enumeration date
11/12/2019
Last updated
01/21/2025
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