DAVID ELLIS WHITAKER

LONGVIEW, WA
NPI1427089663
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP60061604)
Enumeration Date2006-07-05
Last Update Date2012-07-30
Business Address
Dr. DAVID ELLIS WHITAKER D.O.
1615 DELAWARE ST
LONGVIEW, WA 98632-2367
Phone number: 360-501-3601
Mailing Address
Dr. DAVID ELLIS WHITAKER D.O.
PO BOX 3002
LONGVIEW, WA 98632-0302
Phone number: 360-501-3601
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