Organization
AEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID E WHITE PA (PRESIDENT)
(208) 731-7319
Entity
Organization
Contact information
Practice address
197 BAKER STREET, WELLS, NV 89835
(775) 738-3000
(775) 738-3222
Mailing address
279 CLIFF LN, SPRING CREEK, NV 89815-5435
(208) 731-7319
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PA-1661
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609969443
—
NV
Enumeration date
01/11/2018
Last updated
01/11/2018
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