Provider Demographics
NPI:1093150336
Name:WHITTINGTON, MICHAEL ROYCE (DVM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROYCE
Last Name:WHITTINGTON
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 N LIAHONA DR
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-5727
Mailing Address - Country:US
Mailing Address - Phone:907-746-7297
Mailing Address - Fax:907-746-7290
Practice Address - Street 1:2701 N LIAHONA DR
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645-5727
Practice Address - Country:US
Practice Address - Phone:907-746-7297
Practice Address - Fax:907-746-7290
Is Sole Proprietor?:No
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK505174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian