Individual
DR. STEPHEN ALLEN WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 S PULASKI ST, LITTLE ROCK, AR 72201-3926
(501) 682-6223
Mailing address
701 S PULASKI ST, LITTLE ROCK, AR 72201-3926
(501) 682-6223
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
C-5107
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105168001
—
AR
01
—
55609
BCBS
AR
Enumeration date
08/11/2006
Last updated
07/08/2007
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