Individual
DANIEL G WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
(707) 765-3900
Mailing address
3900 LAKEVILLE HWY, PETALUMA, CA 94954-5698
(707) 765-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G59557
CA
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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