Individual
DR. DOUGLAS WESLEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1409 E LAKE MEAD BLVD, NORTH LAS VEGAS, NV 89030-7120
(866) 750-3229
(866) 752-2240
Mailing address
PO BOX 463, AMARILLO, TX 79105-0463
(866) 750-3229
(766) 752-2240
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01056740A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
13450
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538140322
ANTHEM BCBS
NV
05
—
1538140322
—
NV
Enumeration date
11/08/2005
Last updated
10/26/2010
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