Individual
CYNTHIA S. WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1330 PRAIRIE AVE, CHEYENNE, WY 82009-4842
(307) 778-8997
(706) 270-0487
Mailing address
PO BOX 2153 DEPT 40339, BIRMINGHAM, AL 35287-9387
(706) 271-0100
(706) 270-0487
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3307
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21920851
—
CO
Enumeration date
10/17/2011
Last updated
01/04/2023
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