NPI 1548295421

Michael Shane Whitlock, MD

Practitioner Diagnostic Radiology Physician Mountain Home, AR

Practice location

Address: 624 Hospital Dr. Rad. Dept., Mountain Home, AR 72653-2955
Phone: (870) 425-6322
Fax: (870) 424-5859
Mailing address: PO Box 2008, Mountain Home, AR 72654-2008

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence E3746 (AR)

Other Radiology providers in Arkansas →

Registry record

NPI: 1548295421
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2006
Record last updated: 17 Jan 2017

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.