Individual
DR. ALLISSA MARIE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 S PARK LN, ALTUS, OK 73521-5755
(580) 379-6700
(580) 379-6704
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5000
(580) 379-5509
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34797
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200992670B
—
OK
Enumeration date
05/29/2019
Last updated
10/30/2025
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