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Individual

DR. ROBERT L WHITE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5550 S EAST ST STE C, INDIANAPOLIS, IN 46227-1991
(317) 780-4080
Mailing address
1425 VALLEY VIEW DR, JASPER, IN 47546-1870
(812) 634-5014

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01043583A
IN
2084P0800X
Psychiatry Physician
Primary
35.090717
OH
2084P0802X
Addiction Psychiatry Physician
01043583A
IN
2084P0805X
Geriatric Psychiatry Physician
01043583A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000354072
BLUE SHIELD
05
200091330
IN
05
2562089
OH
Enumeration date
08/03/2006
Last updated
02/25/2021
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