Basic Information
Provider Information
NPI: 1568789519
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WHITMER
FirstName: DAVID
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5000 HOPYARD RD
Address2: SUITE 100
City: PLEASANTON
State: CA
PostalCode: 94588
CountryCode: US
TelephoneNumber: 9259241600
FaxNumber: 9259240506
Practice Location
Address1: 1700 SW 7TH STREET
Address2:  
City: TOPEKA
State: KS
PostalCode: 666061690
CountryCode: US
TelephoneNumber: 7852958000
FaxNumber: 7852955584
Other Information
ProviderEnumerationDate: 04/30/2010
LastUpdateDate: 04/04/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X05-35655KSY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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