Individual
DR. DOUGLAS WESLEY WHITE
Active
Individual
DR. DOUGLAS WESLEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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