Walker Dean Whitworth

NPI #1962229658 in Ada, Oklahoma

Provider Information

NPI Number: 1962229658
Entity Type: Individual
Name: Walker Dean Whitworth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 24, 2024
Last Updated: Sep 24, 2024

Practice Location

Address: 17010 COUNTY ROAD 1490
City: Ada
State: Oklahoma
ZIP Code: 74820-4734
Phone: (580) 665-0276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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