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Individual

DR. RICHARD WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4860 Y STREET, SUITE 0100, SACRAMENTO, CA 95817
(916) 734-7005
Mailing address
4150 V STREET, SUITE 2400, SACRAMENTO, CA 95817

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G29028
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G290280
CA
01
G29028
MEDICAL LICENSE
CA
Enumeration date
10/04/2006
Last updated
03/07/2023
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