Individual
RUSSELL ANDREW WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 N COMMERCE AVE, SUITE 230, FRONT ROYAL, VA 22630-4417
(540) 635-0760
(540) 635-0771
Mailing address
120 N COMMERCE AVE, SUITE 230, FRONT ROYAL, VA 22630-4417
(540) 635-0760
(540) 635-0771
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101244275
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164470092
—
VA
05
—
3810013577
—
WV
01
—
P00676756
MEDICARE RR
VA
Enumeration date
05/04/2006
Last updated
07/15/2011
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