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Individual

FREDERICK EUGENE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20A4393
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX43930
CA
01
020A43934
MEDICARE PTAN
CA
01
020A43935
MEDICARE PTAN
01
020A43936
MEDICARE PTAN
CA
01
300033887
RAILROAD
CA
01
300048952
RAILRAOD
CA
Enumeration date
06/20/2006
Last updated
02/27/2013
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