| Mark Whyte Md A Professional Medical Corporation | |
|
608 G St Suite 2-b Brawley CA 92227-2568 | |
| (760) 344-3446 | |
| Not Available |
| Full Name | Mark Whyte Md A Professional Medical Corporation |
|---|---|
| Speciality | General Practice |
| Location | 608 G St, Brawley, California |
| Authorized Official Name and Position | Mark R Whyte (PRESIDENT) |
| Authorized Official Contact | 7603443446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Whyte Md A Professional Medical Corporation 608 G St Suite 2-b Brawley CA 92227-2568 Ph: (760) 344-3446 | Mark Whyte Md A Professional Medical Corporation 608 G St Suite 2-b Brawley CA 92227-2568 Ph: (760) 344-3446 |
| NPI Number | 1114137270 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 03/31/2008 |
| Medicare PECOS PAC ID | 6103925599 |
|---|---|
| Medicare Enrollment ID | O20070626000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114137270 | NPI | - | NPPES |
| 00A858890 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A85889 (California) | Primary |
| Provider Name | Mark R Whyte |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144255258 PECOS PAC ID: 4284628678 Enrollment ID: I20040408001566 |
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