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Individual

DR. WILLIAM L WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1004 CARONDELET DR, SUITE 405, KANSAS CITY, MO 64114-4802
(816) 943-1123
(816) 943-1250
Mailing address
312 NW ROCKWOOD CT, LEES SUMMIT, MO 64081-2094
(816) 525-0873

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
R2F23
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100173170B
KS
05
207665308
MO
01
20972014
BLUE CROSS BLUE SHIELD
MO
01
20972034
BLUE CROSS BLUE SHIELD
MO
01
767009
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/26/2006
Last updated
10/26/2007
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