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Organization
MATTHEW WHITE MD PS
Active
Organization
MATTHEW WHITE MD PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WHITE (OWNER)
(253) 584-1700
Entity
Organization
Contact information
Practice address
5920 100TH ST SW STE 30, LAKEWOOD, WA 98499-2751
(253) 584-1700
(253) 581-1740
Mailing address
5920 100TH ST SW STE 30, LAKEWOOD, WA 98499-2751
(253) 584-1700
(253) 581-1740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
04/13/2011
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