Richard A Whitehead, PA | |
Socpac Soj07, Bld 20 Rm 212, Camp H M Smith, HI 96861-4046 | |
(808) 470-1082 | |
Not Available |
Full Name | Richard A Whitehead |
---|---|
Gender | Male |
Speciality | Physician Assistant - Medical |
Location | Socpac Soj07, Camp H M Smith, Hawaii |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659351609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 1070457 (Georgia) | Secondary |
363AM0700X | Physician Assistant - Medical | 13217715-1206 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
Richard A Whitehead, PA Socpac Soj07, Bld 20 Rm 212, Camp H M Smith, HI 96861-4046 Ph: (808) 470-1082 | Richard A Whitehead, PA Socpac Soj07, Bld 20 Rm 212, Camp H M Smith, HI 96861-4046 Ph: (808) 470-1082 |
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