NPI 1003307463

Alexander Whitney, PAC

Practitioner Medical Physician Assistant Rockford, IL

Practice location

Address: 1055 Featherstone Rd STE C, Rockford, IL 61107-5904
Phone: (815) 227-1055
Fax: (815) 227-1006

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 085006485 (IL)

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Registry record

NPI: 1003307463
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2018
Record last updated: 22 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.