Individual
DR. GARY C WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2340 SUNRISE BLVD, SUITE 17, RANCHO CORDOVA, CA 95670-4368
(916) 635-3043
Mailing address
2340 SUNRISE BLVD, SUITE 17, RANCHO CORDOVA, CA 95670-4368
(916) 635-3043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6140T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0061400
—
CA
Enumeration date
12/14/2006
Last updated
11/16/2007
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