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Individual

DR. JERROLD L WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1010 4TH ST SW STE 340, MASON CITY, IA 50401-2856
(641) 422-7766
(641) 422-7788
Mailing address
621 S ILLINOIS AVE, SUITE 103, MASON CITY, IA 50401-5489
(641) 494-3041
(641) 494-3059

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26664
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03151
WELLMARK
IA
05
1043091
IA
Enumeration date
08/31/2006
Last updated
07/14/2025
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