Individual
TOM D WHITING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 PHILLIPS PLACE, HUNTSVILLE, AR 72740
(479) 738-1700
(479) 738-5510
Mailing address
PO BOX 6220, SPRINGDALE, AR 72766-6220
(479) 927-3100
(479) 927-3131
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C-3304
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145197001
—
AR
Enumeration date
01/05/2007
Last updated
07/10/2014
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