Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 30703 | CA |
Y | 213EG0000X | General Practice | 30703 | CA |
NPI | 1003051814 |
---|---|
Provider Name | Dr. Joseph Ireland Whedbee |
First Address | Redlands, CA 92373-6143 |
Second Address | Redlands, CA 92373-8163 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2008 |
Last Update Date | 20/09/2010 |