Basic Information
Provider Information
NPI: 1326280405
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WHITFILL
FirstName: JAMES
MiddleName: T
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3501 N SCOTTSDALE RD
Address2: SUITE 130
City: SCOTTSDALE
State: AZ
PostalCode: 852515648
CountryCode: US
TelephoneNumber: 4804255000
FaxNumber: 4804255010
Practice Location
Address1: 9700 N 91ST ST
Address2: SUITE C-200
City: SCOTTSDALE
State: AZ
PostalCode: 852585054
CountryCode: US
TelephoneNumber: 4804255000
FaxNumber: 4804255010
Other Information
ProviderEnumerationDate: 04/03/2009
LastUpdateDate: 04/03/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X28074AZY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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