Individual
MARK EMORY WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 NW 138TH ST, SUITE 102, OKLAHOMA CITY, OK 73134-2503
(405) 286-4114
(405) 463-0154
Mailing address
3600 NW 138TH ST, SUITE 102, OKLAHOMA CITY, OK 73134-2503
(405) 286-4114
(405) 463-0154
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
19227
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100143910A
—
OK
Enumeration date
04/13/2006
Last updated
11/04/2014
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