Individual
DR. EVAN CARL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
959 LANE AVE, CHULA VISTA, CA 91914-4528
(619) 502-7730
(619) 502-7740
Mailing address
959 LANE AVE, CHULA VISTA, CA 91914-4528
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A122204
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2011
Last updated
09/15/2022
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