Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 0101030310 | VA |
NPI | 1386789725 |
---|---|
Provider Name | Richard Whitehill |
First Address | Charlottesville, VA 22903-2981 |
Second Address | Charlottesville, VA 22903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B07856 | (02) | VA |