Individual
DR. CLINTON ROCKNEY WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33147
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01331479
—
CO
01
—
P00208189
MEDICARE RAILROAD CARRIER
CO
Enumeration date
12/08/2005
Last updated
07/23/2012
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