Whalio Doctors

NPI 1396743878

Warren Tilden Withers, MD

Practitioner Emergency Medicine Physician Stateline, NV

Practice location

Address
155 Hwy 50, Stateline, NV 89449
Phone
(775) 589-8900
Fax
(775) 588-7110
Mailing address
1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 9451 (NV)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence A69145 (CA)

Registry record

NPI
1396743878
Entity type
Individual
Sex (as registered)
Male
NPI issued
8 Jul 2005
Record last updated
16 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.