Michael Shane Whitlock, MD Valid NPI
Individual provider · Diagnostic Radiology Physician · Mountain Home, AR
- NPI
- 1548295421
- Type
- Individual (Type 1)
- Primary specialty
- Diagnostic Radiology Physician (Radiology)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 2085R0202X
- License number
- E3746 (AR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-07-11
- Last updated
- 2017-01-17
Practice location
624 Hospital Dr. Rad. Dept.
Mountain Home, AR 72653-2955
(870) 425-6322