Individual provider · Type 1 NPI
Mark Aaron Whitlock
Student in an Organized Health Care Education/Training Program · West Memphis, AR
NPI number
1467940312
Active
Practice location
110 Dover Rd
West Memphis, AR 72301
Mailing address
5892 Windsor Falls Loop
Arlington, TN 38002-5395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | 4278 (AR) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Another provider at this address
Other student in an organized health care education/training program providers in West Memphis
About NPI 1467940312
Mark Aaron Whitlock's National Provider Identifier is 1467940312, issued on Apr 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Memphis, AR. The record was last updated on Jun 7, 2018.