Individual
DR. PETER F. WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11277 VERNON PL STE 1400, MEADVILLE, PA 16335-3710
(814) 373-3070
(814) 373-3074
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD046736L
PA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
MD046736L
PA
207YX0602X
Otolaryngic Allergy Physician
MD046736L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012963010001
—
PA
05
—
0012963010003
—
PA
01
—
079117
MEDICARE PTAN
PA
Enumeration date
07/13/2005
Last updated
01/30/2025
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