Individual
CORY MITCHELL WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
2481 W HORIZON RIDGE PKWY STE 100, HENDERSON, NV 89052-5926
(775) 848-6971
(702) 680-1377
Mailing address
427 BLACKRIDGE RD, HENDERSON, NV 89015-7632
(775) 848-6971
(702) 680-1377
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
PA1821
NV
363A00000X
Physician Assistant
Primary
PA1821
NV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/14/2015
Last updated
05/01/2025
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