Individual
ROBERT B WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1399 WEIMER ROAD, TAOS, NM 87571
(505) 758-2224
Mailing address
NDCBU BOX 5775, TAOS, NM 87571
(505) 758-2224
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
95-372
NM
Other
Enumeration date
06/20/2006
Last updated
04/20/2008
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