Individual
MARK WHYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
208600000X
Surgery Physician
Primary
A20787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A858890
—
CA
Enumeration date
07/11/2006
Last updated
04/01/2008
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