Individual
DR. CHARLES FREDRICK WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5964 W POTTER DR, GLENDALE, AZ 85308-6727
(623) 561-6422
Mailing address
PO BOX 11348, GLENDALE, AZ 85318-1348
(623) 561-6422
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19604
AZ
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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