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Individual

SCOTT MICHAEL WHITLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20800 W MARKET ST STE 111, BUCKEYE, AZ 85396-8040
(623) 624-7200
(623) 624-7206
Mailing address
20800 W MARKET ST STE 111, BUCKEYE, AZ 85396-8040
(623) 624-7200
(623) 624-7206

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101271866
VA
207N00000X
Dermatology Physician
Primary
71230
AZ

Other

Enumeration date
04/03/2017
Last updated
01/25/2024
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