Individual
TREVOR W WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
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
363A00000X
Physician Assistant
Primary
2399
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560674
—
AZ
Enumeration date
05/01/2006
Last updated
01/11/2008
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