SearchIdaho208100000X

James Whitaker, D.O

NPI 1750692562 · on the registry since 2010 · sole proprietor

Practice

Address
1760 N Mitchell St
Boise, ID 83704
Phone
(208) 322-5922
Fax
(208) 576-6932
Organisation at this address
Idaho Joint And Spine Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
208100000X
208100000X
Also registered as
204D00000X
208100000X
Licence states on file
ID, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho