Individual
THOMAS WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
FAMILY PRACTICE CTR, 2400 TUCKER NE, ALBUQUERQUE, NM 87131-0001
(505) 272-1734
Mailing address
2400 TUCKER NE, MSC09 5040, ALBUQUERQUE, NM 87131-0001
(505) 272-1734
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PA2002-0010
NM
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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