Individual
TREVOR WHITING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3638 E SOUTHERN AVE, STE C 108, MESA, AZ 85206-2563
(480) 834-0771
(480) 834-1136
Mailing address
3638 E SOUTHERN AVE, STE C 108, MESA, AZ 85206-2563
(480) 834-0771
(480) 834-1136
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5883
AZ
Other
Enumeration date
10/17/2014
Last updated
03/31/2015
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