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Individual

HARRY C WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4105 BRIARGATE BLVD, SUITE 125, COLORADO SPRINGS, CO 80920-3490
(719) 282-2511
(719) 282-2545
Mailing address
4105 BRIARGATE BLVD, SUITE 125, COLORADO SPRINGS, CO 80920-3490
(719) 282-2511
(719) 282-2545

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
31218
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20439
KAISER COMMERCIAL
CO
05
25584251
CO
Enumeration date
06/02/2006
Last updated
10/20/2011
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