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Individual

MR. COLIN SPENCER WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
14030 HUMMINGBIRD RD, FAYETTEVILLE, AR 72701-0358
(501) 733-6113
Mailing address
14030 HUMMINGBIRD RD, FAYETTEVILLE, AR 72701-0358
(501) 733-6111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2553
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5X638
BCBS
AR
Enumeration date
05/24/2006
Last updated
09/14/2020
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