DR. Mary M. Whitaker, AU.D.

NPI #1497782577 in Pocatello, Idaho

Provider Information

NPI Number
1497782577
Entity Type
Individual
Name
DR. Mary M. Whitaker, AU.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Audiologist
Credential
AU.D.
Enumeration Date
Jun 26, 2006
Last Updated
Jul 9, 2007

Practice Location

Address
650 MEMORIAL DRIVE
Address 2
BLDG 68
State
Idaho
ZIP Code
83209-0001
Phone
(208) 282-2190

Specialties & Taxonomy Codes

Specialty
Audiologist

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