Organization
HIGLEY FAMILY MEDICINE, LLC
Active
Other names
Oliveview Homefront
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR W WHITMORE P.A. (OWNER/PHYSICIAN ASSISTANT)
(480) 988-6878
Entity
Organization
Contact information
Practice address
1425 S HIGLEY RD, SUITE 102, GILBERT, AZ 85296-4798
(480) 988-6878
(480) 988-6879
Mailing address
1425 S HIGLEY RD, SUITE 102, GILBERT, AZ 85296-4798
(480) 988-6878
(480) 988-6879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228810
—
AZ
05
—
286791
—
AZ
05
—
560674
—
AZ
Enumeration date
12/26/2007
Last updated
06/13/2008
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