Provider Demographics
NPI:1326337296
Name:WHITING, PHILLIP BLAINE (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:BLAINE
Last Name:WHITING
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10099 RIDGEGATE PKWY
Mailing Address - Street 2:CONIFER BUILDING, SUITE 230
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5531
Mailing Address - Country:US
Mailing Address - Phone:303-706-1616
Mailing Address - Fax:303-706-0151
Practice Address - Street 1:10099 RIDGEGATE PKWY
Practice Address - Street 2:CONIFER BUILDING, SUITE 230
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5531
Practice Address - Country:US
Practice Address - Phone:303-706-1616
Practice Address - Fax:303-706-0151
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2016-06-20
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Provider Licenses
StateLicense IDTaxonomies
CODR.0056537207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology