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Individual

MR. STANLEY D WHITE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
27535 US HIGHWAY 98, DAPHNE, AL 36526-4839
(251) 625-0909
(251) 380-7390
Mailing address
27535 US HIGHWAY 98, DAPHNE, AL 36526-4839
(251) 625-0909
(251) 380-7390

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA182
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051503930
AL
01
970022612
RAILROAD MEDICARE
Enumeration date
07/28/2005
Last updated
03/02/2016
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