Provider Demographics
NPI:1073859450
Name:WHATCOTT, DAVID (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:WHATCOTT
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1920 N HIGLEY RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85234-1623
Mailing Address - Country:US
Mailing Address - Phone:480-543-6700
Mailing Address - Fax:480-543-6725
Practice Address - Street 1:1920 N HIGLEY RD
Practice Address - Street 2:SUITE 206
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85234-1623
Practice Address - Country:US
Practice Address - Phone:480-543-6700
Practice Address - Fax:480-543-6725
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ5335363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical