Individual
DAVID LAMONT WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-3100
Mailing address
12360 HUMMINGBIRD PL, ROLLA, MO 65401-7406
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MDR6H70
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125537466
—
MO
Enumeration date
06/14/2006
Last updated
03/14/2011
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