Individual
JOHN WHITE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
1521 N 10TH ST, BLYTHEVILLE, AR 72315-1424
(870) 763-4224
(870) 763-4325
Mailing address
1521 N 10TH ST, BLYTHEVILLE, AR 72315-1424
(870) 763-4224
(870) 763-4325
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E1142
AR
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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