Individual
DAVID A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24988 SE STARK ST STE 220, GRESHAM, OR 97030-8324
(503) 674-1580
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 233-2300
(580) 548-1497
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
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