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NPI Code Detail

MEDICARE: BRETT D WHATCOTT DO

MEDICARE: BRETT D WHATCOTT DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianE2230AR
2207LP2900XPain Medicine (Anesthesiology) Physician5515OK
3207LP2900XPain Medicine (Anesthesiology) PhysicianE-2230AR
4208VP0014XInterventional Pain Medicine PhysicianE2230AR

General Provider Information

NPI Number : 1134169816
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRETT D WHATCOTT DO
Provider Business Mailing Address
First Line : 2707 MARKET TRACE
Second Line :
City : FORT SMITH
State : AR
Zip : 72908
Country : US
Telephone Number : 479-434-3600
Fax Number : 479-434-3602
Provider Business Practice Location Address
First Line : 2707 MARKET TRCE
Second Line :
City : FORT SMITH
State : AR
Zip : 72908-8694
Country : US
Telephone Number : 479-434-3600
Fax Number : 833-992-0797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2006
Last Update Date : 05/16/2023

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1285389262 — KRISTINA M DEAN APRN, FNP-BC
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