Individual
CLINT WHITWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1410 NORTH 13TH STREET, NORFOLK, NE 68701
(402) 371-0797
Mailing address
84521 534 AVE, TILDEN, NE 68781-8033
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
74
NE
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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