Individual
THOMAS C WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22583
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46820078
—
CO
01
—
DE3692
RAILROAD MEDICARE
CO
Enumeration date
06/27/2005
Last updated
08/14/2019
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