Individual
MARK WAYNE WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
500 N STATE ROUTE 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Mailing address
500 N STATE ROUTE 89, PRESCOTT, AZ 86313-5001
(928) 445-4860
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
2007030522
MO
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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