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Individual

JAMES H WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10701 NALL AVE, SUITE 200, OVERLAND PARK, KS 66211-1231
(913) 381-5225
(913) 341-3940
Mailing address
12639 OLD TESSON RD, SUITE 100, SAINT LOUIS, MO 63128-2786
(314) 849-0311
(314) 849-4423

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0419169
KS
207X00000X
Orthopaedic Surgery Physician
33523
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04163017
BCBS OTHER
01
04163037
BATESCTY BCBS
MO
05
201247418
MO
01
6033346
BATESCTY MEDICARE
MO
01
W053346
I-70 MEDCTR MEDICARE
MO
Enumeration date
06/28/2006
Last updated
08/06/2013
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