Organization
DONALD C WHITE MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD C WHITE MD (OWNER)
(620) 251-5600
Entity
Organization
Contact information
Practice address
1400 W 4TH ST, COFFEYVILLE, KS 67337-3306
(620) 251-5600
(620) 252-1780
Mailing address
PO BOX 1449, COFFEYVILLE, KS 67337-6749
(620) 251-5600
(620) 251-2780
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100009890A
OKLA HEALTHCARE AUTHORITY
OK
05
—
100084840A
—
KS
01
—
340540
CHILDRENS MERCY HEALTH PL
KS
Enumeration date
02/21/2006
Last updated
12/14/2010
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