Individual
TRIA WILHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
98 MEDICAL DRIVE, HANNIBAL, MO 63401
(573) 406-1301
(573) 406-0511
Mailing address
PO BOX 511, HANNIBAL, MO 63401-0511
(573) 406-1301
(573) 406-0511
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
105237
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102580C
BLUE CROSS/BLUE SHIELD
MO
05
—
207766544
—
MO
01
—
259741
HEALTHLINK
MO
Enumeration date
07/07/2005
Last updated
03/05/2014
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