Individual
DR. CHARLES D. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1138 E WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 413-0250
(801) 463-0313
Mailing address
PO BOX 510004, SALT LAKE CITY, UT 84151-0004
(801) 213-3900
(801) 585-3655
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
311210-1205
UT
Other
Enumeration date
06/15/2006
Last updated
12/17/2021
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