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Individual

GARY LANCE WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11600 W 2ND PL, LAKEWOOD, CO 80228-1527
(720) 321-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2016010262
MO
2085R0202X
Diagnostic Radiology Physician
DR.0066120
CO
2085R0204X
Vascular & Interventional Radiology Physician
2016010262
MO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
DR.0066120
CO

Other

Enumeration date
04/23/2015
Last updated
10/04/2024
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