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Individual

JOSHUA WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
GIFFORD MEDICAL CENTER, 44 SOUTH MAIN ST., RANDOLPH, VT 05060-1381
(802) 728-7000
Mailing address
GIFFORD MEDICAL CENTER, 44 SOUTH MAIN ST., RANDOLPH, VT 05060-1381
(802) 728-7000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46640
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
327174900
MN
01
46640
MEDICAL LICENSE
MN
Enumeration date
03/20/2006
Last updated
02/12/2010
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