DR. JOHN C WHITAKER MD NPI 1467461764

NPI Information

DR. John C Whitaker, MD is a pediatrics in Fort Smith, AR. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. John C Whitaker, MD NPI is 1467461764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2713 S 74TH ST
SUITE 408
FORT SMITH, AR
ZIP 72903-170
Phone: (479) 484-5646
Fax: (479) 242-2323

The CLIA number assigned to this NPI record is 04D1062381 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 4/15/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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