Basic Information
Provider Information
NPI: 1760616809
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCWHORTER
FirstName: PHILIP
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3000 SPOUT RUN PKWY APT A305
Address2:  
City: ARLINGTON
State: VA
PostalCode: 222014214
CountryCode: US
TelephoneNumber: 7062025574
FaxNumber:  
Practice Location
Address1: 900 23RD ST NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200372342
CountryCode: US
TelephoneNumber: 2027154000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/04/2009
LastUpdateDate: 07/03/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD040770DCY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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