Individual
ELIJAH WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1051 S CLIFTON AVE, WICHITA, KS 67218-2910
(316) 305-5992
Mailing address
1051 S CLIFTON AVE, WICHITA, KS 67218-2910
(316) 305-5992
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13621
TX
Other
Enumeration date
06/19/2019
Last updated
01/05/2021
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