Individual
BLAINE G WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
621 3RD ST S, GLASGOW, MT 59230-2604
(406) 228-3645
(406) 228-3533
Mailing address
621 3RD ST S, GLASGOW, MT 59230-2651
(406) 228-3645
(406) 228-3533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
19305
MT
Other
Enumeration date
08/01/2012
Last updated
03/04/2026
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