Individual
ROBERT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
141 5TH ST E, DICKINSON, ND 58601-4460
(701) 590-9464
Mailing address
141 5TH ST E, DICKINSON, ND 58601-4460
(701) 590-9464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC1096
ND
363AM0700X
Medical Physician Assistant
PAC1096
ND
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/25/2024
Last updated
09/13/2024
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