Organization
MARK WHYTE MD A PROFESSIONAL MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R WHYTE MD (PRESIDENT)
(760) 344-3446
Entity
Organization
Contact information
Practice address
608 G ST, SUITE 2-B, BRAWLEY, CA 92227-2568
(760) 344-3446
Mailing address
608 G ST, SUITE 2-B, BRAWLEY, CA 92227-2568
(760) 344-3446
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A85889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A858890
—
CA
Enumeration date
05/23/2007
Last updated
03/31/2008
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