Individual
JAY W. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
34007897
OH
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
5101013470
MI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
7612
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2338947
—
OH
05
—
6632340
—
SD
Enumeration date
07/20/2005
Last updated
05/18/2012
Update your record
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