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Individual
DRAKE B WHITE
Active
Individual
DRAKE B WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036090221
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090221
—
IL
01
—
0587030
IOWA MEDICAID
IA
Enumeration date
09/02/2006
Last updated
12/30/2008
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