Individual
DR. JASON MATTHEW WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4175
Mailing address
PO BOX 1537, GLASGOW, KY 42142-1537
(270) 651-9129
(270) 651-4916
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
46959
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100314390
—
KY
Enumeration date
06/01/2006
Last updated
03/02/2023
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