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NPI Code Detail

MEDICARE: DR. TREVOR KEITH WHITING D.P.M.

MEDICARE:  DR. TREVOR KEITH WHITING  D.P.M.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist5901002330MI
2213ES0103XFoot & Ankle Surgery PodiatristOP60294170WA
3213ES0103XFoot & Ankle Surgery PodiatristPOD.0000886CO

General Provider Information

NPI Number : 1114156726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TREVOR KEITH WHITING D.P.M.
Provider Business Mailing Address
First Line : 1465 KELLY JOHNSON BLVD STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3945
Country : US
Telephone Number : 719-488-4664
Fax Number : 719-488-4667
Provider Business Practice Location Address
First Line : 1465 KELLY JOHNSON BLVD STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3945
Country : US
Telephone Number : 719-488-4664
Fax Number : 719-488-4667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2009
Last Update Date : 05/09/2023

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