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NPI Code Detail

MEDICARE: PAUL WAYNE WHITECAR MD

MEDICARE: PAUL WAYNE WHITECAR MD
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
1207VM0101XMaternal & Fetal Medicine Physician263124-1205UT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639144934
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL WAYNE WHITECAR MD
Provider Business Mailing Address
First Line : PO BOX 27128
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84127-0128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1380 E MEDICAL CENTER DR STE 1600
Second Line :
City : SAINT GEORGE
State : UT
Zip : 84790-2123
Country : US
Telephone Number : 435-688-4770
Fax Number : 435-688-4835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 07/09/2019

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Directions to “ PAUL WAYNE WHITECAR MD” Practice Location

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