Individual
DR. JOHN TODD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
729 E SPAULDING AVE, PUEBLO WEST, CO 81007-3512
(719) 547-9119
(719) 547-7555
Mailing address
729 E SPAULDING AVE, PUEBLO WEST, CO 81007-3512
(719) 547-9119
(719) 547-7555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41374
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92172261
—
CO
01
—
P00869198
MCR RAILROAD
CO
Enumeration date
06/17/2005
Last updated
05/04/2017
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