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Individual

RICHARD E WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
75 PRINTERS PKWY STE 200, COLORADO SPRINGS, CO 80910-3142
(719) 300-8433
(719) 300-7796
Mailing address
75 PRINTERS PKWY STE 200, COLORADO SPRINGS, CO 80910-3142
(719) 300-8433
(719) 284-4635

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0004619
CO
363A00000X
Physician Assistant
Primary
1082491

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51175061
CO
Enumeration date
10/21/2008
Last updated
07/09/2026
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