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Individual

DAVID A WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
(208) 814-7528
Mailing address
2767 PAINTBRUSH DR, TWIN FALLS, ID 83301-7571
(801) 656-8571

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA-818
ID

Other

Enumeration date
01/25/2012
Last updated
01/25/2012
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