Individual
WARREN WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2285 GREEN VISTA DR, SPARKS, NV 89431-1071
(775) 674-1100
Mailing address
2285 GREEN VISTA DR, SPARKS, NV 89431-1071
(775) 674-1100
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
810
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/19/2011
Last updated
01/15/2015
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