Individual
DAVID A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19950
OK
207R00000X
Internal Medicine Physician
Primary
MD218730
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287113
ANTHEM PROVIDER #
IN
05
—
100037900A
—
OK
05
—
100180890G
—
IN
05
—
200442000
—
IN
05
—
200606660A
—
KS
01
—
CH6490
GROUP IN RAILROAD MCR#
IN
Enumeration date
06/15/2006
Last updated
02/29/2024
Update your record
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