Michael C Whitt Md, A Prof. Corp. | |
11150 State Route 1 Pt Reyes Sta CA 94956 | |
(415) 663-1082 | |
(415) 663-9474 |
Full Name | Michael C Whitt Md, A Prof. Corp. |
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Speciality | General Practice |
Location | 11150 State Route 1, Pt Reyes Sta, California |
Authorized Official Name and Position | Michael Carter Whitt (OWNER) |
Authorized Official Contact | 4156631082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael C Whitt Md, A Prof. Corp. Po Box 240 Pt Reyes Sta CA 94956 Ph: (415) 663-1082 | Michael C Whitt Md, A Prof. Corp. 11150 State Route 1 Pt Reyes Sta CA 94956 Ph: (415) 663-1082 |
NPI Number | 1558543025 |
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Provider Enumeration Date | 11/27/2007 |
Last Update Date | 01/24/2008 |
Identifier | Type | State | Issuer |
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1558543025 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | C313340 (California) | Primary |