Individual
DONALD JASON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1855 N STAPLEY DR, MESA, AZ 85203
(480) 834-7546
Mailing address
1855 N STAPLEY DR, MESA, AZ 85203-3002
(480) 834-7546
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
46427
AZ
207R00000X
Internal Medicine Physician
46427
AZ
207R00000X
Internal Medicine Physician
Primary
A136139
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720724
—
AZ
Enumeration date
04/09/2009
Last updated
06/28/2019
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