Individual
DR. MATTHEW CHRISTIAN WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
673 MDG, 5955 ZEAMER AVE, JBER, AK 99506
(907) 580-1815
Mailing address
673 MDG, 5955 ZEAMER AVE, JBER, AK 99506
(907) 580-1891
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
205569
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679854491
—
ID
Enumeration date
06/29/2011
Last updated
09/11/2023
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