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Individual

CARL W WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-6181
(720) 777-7283
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
24593
CO
2080P0214X
Pediatric Pulmonology Physician
Primary
24593
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01245935
CO
Enumeration date
11/09/2006
Last updated
03/21/2014
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