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NPI Code Detail

MEDICARE: DR. IAN JAMES WHITNEY M.D.

MEDICARE:  DR. IAN JAMES WHITNEY  M.D.
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
1207X00000XOrthopaedic Surgery PhysicianMD60433488WA
2207X00000XOrthopaedic Surgery PhysicianP4009TX

Other Identifiers

General Provider Information

NPI Number : 1346477452
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IAN JAMES WHITNEY M.D.
Provider Business Mailing Address
First Line : 25723 OLD FREDERICKSBURG RD
Second Line :
City : BOERNE
State : TX
Zip : 78015-6605
Country : US
Telephone Number : 210-450-6810
Fax Number : 210-450-6023
Provider Business Practice Location Address
First Line : 25723 OLD FREDERICKSBURG RD
Second Line :
City : BOERNE
State : TX
Zip : 78015-6605
Country : US
Telephone Number : 210-450-6810
Fax Number : 210-450-6023
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2009
Last Update Date : 04/06/2022

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Directions to “ DR. IAN JAMES WHITNEY M.D.” Practice Location

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