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Individual

MR. RICHARD EDD WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO.

Contact information

Practice address
8745 GLACIER HWY STE 426, JUNEAU, AK 99801-8092
(907) 796-3937
(907) 796-3940
Mailing address
8745 GLACIER HWY STE 426, JUNEAU, AK 99801-8092
(907) 796-3937
(907) 796-3940

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
216
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OP7385
AK
Enumeration date
05/16/2008
Last updated
05/16/2008
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