Individual
DR. JUDSON WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1520 E HERITAGE PARK ST STE 150, MERIDIAN, ID 83646-6837
(208) 895-2600
(208) 895-2700
Mailing address
1520 E HERITAGE PARK ST STE 150, MERIDIAN, ID 83646-6837
(208) 895-2600
(208) 895-2700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA1741
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20012413
—
ID
Enumeration date
01/09/2017
Last updated
05/07/2022
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