Phillip Brian Whittenberg, PA C is a medical physician assistant in Boise, ID with 22 years of experience. Phillip Brian Whittenberg, PA C NPI is 1053385054. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
11197 W FAIRVIEW AVE
BOISE, ID
ZIP 83713-935
Phone: (208) 378-8011
Fax: (208) 322-8095
The NPI 1053385054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 2/15/2006 and was last updated on 2/23/2021.