Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 11848 | NV |
NPI | 1265508493 |
---|---|
Provider Name | Dr. Scott Jason Whitten |
First Address | Reno, NV 89511-2060 |
Second Address | Reno, NV 89511-2060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H81058 | (02) | NV |