Individual
NATHAN BOYD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6475 S YALE AVE STE 301, TULSA, OK 74136
(918) 494-9300
(918) 494-9355
Mailing address
6475 S YALE AVE STE 301, TULSA, OK 74136-7815
(918) 494-9341
(918) 494-9355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2422
OK
363AS0400X
Surgical Physician Assistant
2422
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200572790A
—
OK
Enumeration date
01/27/2015
Last updated
08/08/2018
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