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Dr. Michael Shane Whitlock, MD
Diagnostic Radiology Physician in Mountain Home, Arkansas
NPI 1548295421

Michael Shane Whitlock is a Diagnostic Radiology Physician based in Mountain Home, AR and is specialized in Diagnostic Radiology. Michael Shane Whitlock practices in Mountain Home, AR and has the professional credentials of MD. The NPI Number for Michael Shane Whitlock is 1548295421 and holds a License No. E3746 (Arkansas).

The current practice location address for Michael Shane Whitlock is 624 Hospital Dr. Rad. Dept., Mountain Home, AR and can be reached out via phone at 870-425-6322 and via fax at 870-424-5859.

Location: 624 Hospital Dr. Rad. Dept., Mountain Home, AR, 72654-2008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548295421
Provider Name
Michael Shane Whitlock
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
624 Hospital Dr. Rad. Dept., Mountain Home, AR, 72654-2008
Phone Number
870-425-6322
Fax Number
870-424-5859
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
165369001 05 AR
institution
Provider Business Practice Location Address Details
Address
624 Hospital Dr. Rad. Dept.
City
Mountain Home
State
Arkansas
Zip
72653-2955
Phone Number
870-425-6322
Fax Number
870-424-5859
person
Provider Business Mailing Address Details
Address
624 Hospital Dr. Rad. Dept.
City
Mountain Home
State
Arkansas
Zip
72653-2955
Phone Number
870-425-6322
Fax Number
870-424-5859
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
E3746 (Arkansas)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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