Most Relevant Information
Provider Data
| NPI Number: | 1003307463 |
| Provider Name: | ALEXANDER WHITNEY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 085006485 |
Most Important Dates
| Enumeration Date: | 05/22/2018 |
| Last Updated: | 05/22/2018 |
Provider Practice Location
1055 FEATHERSTONE RD STE C
ROCKFORD
IL
611075904
Practice Location Phone/Fax
| Phone: | 8152271055 |
| Fax: | 8152271006 |
Provider Mailing Location
1055 FEATHERSTONE RD STE C
ROCKFORD
IL
611075904
Provider Mailing Phone/Fax
| Phone: | 8152271055 |
| Fax: | 8152271006 |