Individual
DR. GREGORY RICHARD WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 E THOMAS RD, MAIN BUIDLING, PHOENIX, AZ 85016
(602) 933-3033
(602) 933-5245
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1814
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
24530
AZ
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
25430
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388670
—
AZ
Enumeration date
08/16/2005
Last updated
06/22/2018
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