Individual
JEFFERY ALAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3896
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 531-3896
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2009-00317
NC
Other
Enumeration date
06/25/2007
Last updated
04/25/2022
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