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Individual
DR. BRUCE ALLEN WHITE
Active
Individual
DR. BRUCE ALLEN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5459
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102652001
—
AR
01
—
12697000000
QUALCHOICE
AR
01
—
4352987
AETNA
AZ
01
—
480568
HEALTHLINK
AR
01
—
7967507
CIGNA
AR
01
—
FP99688
UNITED HEALTHCARE
AR
01
—
P00050
NOVASYS
AR
Enumeration date
02/27/2006
Last updated
07/02/2008
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