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Tad Marshall Whitney
Student in an Organized Health Care Education/Training Program in Edmond, Oklahoma
NPI 1265029003

Tad Marshall Whitney is a Student in an Organized Health Care Education/Training Program based in Edmond, OK. Tad Marshall Whitney practices in Edmond, OK. The NPI Number for Tad Marshall Whitney is 1265029003 and holds a License No. (Oklahoma).

The current practice location address for Tad Marshall Whitney is 19904 Vivace Ct, Edmond, OK and can be reached out via phone at 918-720-8639. You can also correspond with Tad Marshall Whitney through the mailing address at 19904 VIVACE CT, EDMOND, OK - 73012-5234 (mailing address contact number: ).

Location: 19904 Vivace Ct, Edmond, OK, 73012-5234
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265029003
Provider Name
Tad Marshall Whitney
Credential
Provider Entity Type
Individual
Gender
Male
Address
19904 Vivace Ct, Edmond, OK, 73012-5234
Phone Number
918-720-8639
Fax Number
Provider Enumeration Date
12/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19904 Vivace Ct
City
Edmond
State
Oklahoma
Zip
73012-5234
Phone Number
918-720-8639
Fax Number
person
Provider Business Mailing Address Details
Address
19904 Vivace Ct
City
Edmond
State
Oklahoma
Zip
73012-5234
Phone Number
918-720-8639
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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