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Individual

DAVID E WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
250 COUNTRY CLUB PKWY, SPRING CREEK, NV 89815
(775) 750-7159
Mailing address
250 COUNTRY CLUB PKWY, SPRING CREEK, NV 89815-5830
(775) 750-7159

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
363AMO700X
ID
363AM0700X
Medical Physician Assistant
Primary
PA1661
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
807568600
ID
Enumeration date
10/02/2006
Last updated
08/02/2018
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