Individual
MR. JOHN CHAPMAN WHITLOCK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2610 E 7800 S, SOUTH WEBER, UT 84405-9414
(843) 250-6878
Mailing address
2610 E 7800 S, SOUTH WEBER, UT 84405-9414
(843) 250-6878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9443035-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
134656
UT
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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