Individual
DR. JOHN BOWMAN WHITE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
00313
WV
213ES0000X
Sports Medicine Podiatrist
00313
WV
213ES0103X
Foot & Ankle Surgery Podiatrist
00313
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099970000
—
WV
Enumeration date
09/23/2005
Last updated
03/17/2011
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