Individual
DR. JOSEPH D. WHITLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 UNIVERSITY DR, STATE COLLEGE, PA 16801-6626
(814) 238-8418
(814) 234-2888
Mailing address
905 UNIVERSITY DR, STATE COLLEGE, PA 16801-6626
(814) 238-8418
(814) 234-2888
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
000722778
NC
208600000X
Surgery Physician
MD039559E
PA
2086S0129X
Vascular Surgery Physician
000722778
NC
2086S0129X
Vascular Surgery Physician
MD039559E
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
000722778
NC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD039559E
PA
225100000X
Physical Therapist
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12953
BLUE CROSS
NC
01
—
2293437A
MEDICARE ID
NC
05
—
8912953
—
NC
Enumeration date
01/13/2006
Last updated
11/18/2015
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