Individual provider · Type 1 NPI
Richard A. Whitehead, PA
Medical Physician Assistant · Camp H M Smith, HI
NPI number
1659351609
Active
Practice location
Socpac SOJ07, Bld 20 Rm 212
Camp H M Smith, HI 96861-4046
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1070457 (GA) |
| Medical Physician Assistant Primary | 363AM0700X | 13217715-1206 (UT) |
Medical Physician Assistant: Definition to come...
About NPI 1659351609
Richard A. Whitehead, PA's National Provider Identifier is 1659351609, issued on Jan 17, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Camp H M Smith, HI. The record was last updated on Jan 26, 2023.