Provider Demographics
NPI:1669571659
Name:WHATMORE, DAVID W (PA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:WHATMORE
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Gender:M
Credentials:PA
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Mailing Address - Street 1:10103 RIDGEGATE PKWY
Mailing Address - Street 2:SUITE 306
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5520
Mailing Address - Country:US
Mailing Address - Phone:303-225-8120
Mailing Address - Fax:303-225-8130
Practice Address - Street 1:10103 RIDGEGATE PKWY
Practice Address - Street 2:#306
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5520
Practice Address - Country:US
Practice Address - Phone:303-225-8120
Practice Address - Fax:303-225-8130
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2008-01-07
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Provider Licenses
StateLicense IDTaxonomies
CO841375754207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO28782739Medicaid
CO807448Medicare PIN