Doctor Name: | STACY LEILANI WHITAKER |
NPI Number: | 1316064512 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 11323 |
Business Practice Address: | 900 Sunset Dr La Grande, OR - 978501362 |
Business Phone Number: | 5419631883 |
Business Fax Number: | 5419631837 |
Mailing Address: | Po Box 3290, LA GRANDE |
State: | OR |
Postal Code: | 978507290 |
Phone Number: | 5419631883 |
Fax Number: | 5419631837 |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 01/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 11323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |