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Individual

STEPHEN C. WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT, OCS

Contact information

Practice address
1025 MEDICAL ARTS AVE NE, ALBUQUERQUE, NM 87102-2708
(505) 272-9020
(505) 232-9606
Mailing address
1025 MEDICAL ARTS AVE NE, ALBUQUERQUE, NM 87102-2708
(505) 272-9020
(505) 232-9606

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4366
NM
225100000X
Physical Therapist
7649
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102255331
OWCP FACILITY ID
Enumeration date
08/15/2006
Last updated
11/24/2020
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