Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MD.207005 | LA |
NPI | 1003181306 |
---|---|
Provider Name | Mr. Christopher Keith Whipple |
First Address | New Orleans, LA 70115-5003 |
Second Address | New Orleans, LA 70115-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2012 |
Last Update Date | 07/12/2015 |