Individual
DR. EDWARD L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
614 NORTHTOWN, MOUNTAIN HOME, AR 72653-3105
(870) 425-3131
(870) 425-3136
Mailing address
614 NORTHTOWN, MOUNTAIN HOME, AR 72653-3105
(870) 425-3131
(870) 425-3136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-8151
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121436001
—
AR
Enumeration date
02/16/2006
Last updated
11/18/2009
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