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Individual

DR. TYRUS MICHAEL WHITE JR.

Active
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Individual

DR. TYRUS MICHAEL WHITE JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
42601
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100160280
KY
01
P01428671
RR MEDICARE
KY
Enumeration date
07/09/2008
Last updated
12/16/2020
About Stedi
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