Provider Demographics
NPI:1033709753
Name:WHITMAN, DEBRA (DVM)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9138
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-9103
Mailing Address - Country:US
Mailing Address - Phone:970-949-6467
Mailing Address - Fax:970-343-4062
Practice Address - Street 1:0730 NOTTINGHAM RD
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:AVON
Practice Address - State:CO
Practice Address - Zip Code:81620
Practice Address - Country:US
Practice Address - Phone:970-949-6467
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-26
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006849207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine