Individual
SHAWN WAYNE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT, MR
Contact information
Practice address
11300 FINANCIAL CENTRE PKWY, SUITE 400, LITTLE ROCK, AR 72211-3746
(501) 221-2502
Mailing address
890 BRECKENRIDGE DR, BENTON, AR 72019-1623
(501) 221-2502
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
16574365
AR
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
200873
AR
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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