Individual
JIMMIE LEWIS WHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3920 N UNION BLVD, COLORADO SPRINGS, CO 80907-4900
(719) 755-6472
Mailing address
3924 JASMINE ST, COLORADO SPRINGS, CO 80907-4526
(719) 499-6308
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
RN0186732
CO
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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