Richard Franklin Whittaker I

NPI #1801622139 in Ammon, Idaho

Provider Information

NPI Number: 1801622139
Entity Type: Individual
Name: Richard Franklin Whittaker I
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 12, 2024
Last Updated: Sep 12, 2024

Practice Location

Address: 2705 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6601
Phone: (208) 346-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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